Pamela Bowdry, CDCS PLANNER
Individual provider Active NPI Contractor · Saint Paul, MN
NPI 1639979396 · NPPES record last updated Mar 13, 2025
Key facts
- NPI
- 1639979396
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- Practice address
- 215 Congress St E Apt a
Saint Paul, MN 55107-2381 - Phone
- (612) 289-9521
- NPI assigned
- Mar 13, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | |||
| Contractor | 171W00000X | Yes |
Addresses
Primary practice location
215 Congress St E Apt a
Saint Paul, MN 55107-2381
Mailing address
215 Congress St E Apt a
Saint Paul, MN 55107-2381
Phone (612) 289-9521
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.