Individual provider Active NPI

Stephanie Vining Bowen

  • Audiologist
  • Memphis, TN
National Provider Identifier
1609024272
Registry record updated Dec 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
0000001256 Issued in TN
Practice address
5625 Poplar Ave
Memphis, TN 38119-3816
Phone
(901) 761-0147
Fax
(901) 763-4332
NPI assigned
Sep 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 0000001256 TN Primary

Addresses

Primary practice location

5625 Poplar Ave
Memphis, TN 38119-3816

Mailing address

5625 Poplar Ave
Memphis, TN 38119-3816
Phone (901) 761-0147

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

LicenseStateTypeSpecialty
0000001256TNMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Shea Center for Ears, Hearing and Balance Inc. PastSince Jan 5, 1998 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324339200000",
    "number": "1609024272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5625 POPLAR AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381193816",
            "telephone_number": "901-761-0147",
            "fax_number": "901-763-4332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5625 POPLAR AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381193816",
            "telephone_number": "901-761-0147",
            "fax_number": "901-763-4332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "STEPHANIE",
        "middle_name": "VINING",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-08",
        "last_updated": "2011-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TN",
            "license": "0000001256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; 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.