Active NPI
Jacob W Bowker, CERTIFIED COACH
- Health & Wellness Coach
- Pflugerville, TX
National Provider Identifier
1477381358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- Practice address
- 3908 Brean Down
Pflugerville, TX 78660-3723 - Phone
- (760) 917-3080
- NPI assigned
- Jul 23, 2024
- Last updated
- Jul 23, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | NU | Primary |
Addresses
Primary practice location
3908 Brean Down
Pflugerville, TX 78660-3723
Mailing address
PO Box 6031
Round Rock, TX 78683-6031
Phone (737) 328-8737
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721692800000",
"number": "1477381358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6031",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786836031",
"telephone_number": "737-328-8737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3908 BREAN DOWN",
"city": "PFLUGERVILLE",
"state": "TX",
"postal_code": "786603723",
"telephone_number": "760-917-3080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWKER",
"first_name": "JACOB",
"middle_name": "W",
"name_prefix": "Mr.",
"credential": "CERTIFIED COACH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-07-23",
"last_updated": "2024-07-23",
"certification_date": "2024-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pflugerville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.