Individual provider Active NPI

Ashley Nicole Bowery, CASAC INTERN

  • Substance Abuse Rehabilitation Facility
  • Guilderland, NY
National Provider Identifier
1578897922
Registry record updated Oct 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Practice address
3 Mercycare LN
Guilderland, NY 12084-3504
Phone
(518) 452-6700
Fax
(518) 452-6756
NPI assigned
Oct 1, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

3 Mercycare LN
Guilderland, NY 12084-3504

Mailing address

3 Mercycare LN
Guilderland, NY 12084-3504
Phone (518) 452-6700

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": "1254355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254355200000",
    "number": "1578897922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MERCYCARE LN",
            "city": "GUILDERLAND",
            "state": "NY",
            "postal_code": "120843504",
            "telephone_number": "518-452-6700",
            "fax_number": "518-452-6756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MERCYCARE LN",
            "city": "GUILDERLAND",
            "state": "NY",
            "postal_code": "120843504",
            "telephone_number": "518-452-6700",
            "fax_number": "518-452-6756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWERY",
        "first_name": "ASHLEY",
        "middle_name": "NICOLE",
        "name_prefix": "Miss",
        "credential": "CASAC INTERN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-01",
        "last_updated": "2009-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guilderland, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2009; 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.