Myrta Sue Bowen

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

7610 40TH St W Ste 300
University Place, WA 98466-3834

Phone

(253) 278-6437

NPI assigned

Jul 11, 2012

Last updated

Nov 30, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543536000000",
    "number": "1487919882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5410 N 44TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984073715",
            "telephone_number": "253-759-9544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7610 40TH ST W STE 300",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984663834",
            "telephone_number": "253-278-6437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "MYRTA",
        "middle_name": "SUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-11",
        "last_updated": "2018-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Elizabeth Bond, PHARMD
• Amy Booth, MNT
• Peighton Bortle, MS
• Shane D. Boucher, D.C.
• Amby Bowen Bowen, RN GERO-BC CCM
• Stephanie Boyer
• Emma Jayne Braatz
• Claudia Dixie Bradley, RPH
• Phebe Brako, PHD
• Anna Branch

• Peer Specialist in University Place, WA
• Providers in University Place, WA by specialty
• Peer Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.