Active NPI
Jessica Brooke Bowman, CCC-SLP
- Speech-Language Pathologist
- Sykesville, MD
National Provider Identifier
1598290264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 06323
- Practice address
- 933 Magnolia Blossom CT
Sykesville, MD 21784-7687 - Phone
- (443) 695-7076
- NPI assigned
- May 1, 2017
- Last updated
- May 1, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 06323 | MD | Primary |
Addresses
Primary practice location
933 Magnolia Blossom CT
Sykesville, MD 21784-7687
Mailing address
933 Magnolia Blossom CT
Sykesville, MD 21784-7687
Phone (443) 695-7076
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06323 | MD | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493596800000",
"number": "1598290264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "933 MAGNOLIA BLOSSOM CT",
"city": "SYKESVILLE",
"state": "MD",
"postal_code": "217847687",
"telephone_number": "443-695-7076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "933 MAGNOLIA BLOSSOM CT",
"city": "SYKESVILLE",
"state": "MD",
"postal_code": "217847687",
"telephone_number": "443-695-7076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWMAN",
"first_name": "JESSICA",
"middle_name": "BROOKE",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-01",
"last_updated": "2017-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "06323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sykesville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.