Individual provider Active NPI

Jacquelyn Bowman-Garrett, D.C.

  • Chiropractor
  • Boerne, TX
National Provider Identifier
1649612268
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12982 Issued in TX
Practice address
117 W Highland Dr Ste 101
Boerne, TX 78006-2659
Phone
(830) 431-4097
NPI assigned
Jul 24, 2013
Last updated
Feb 25, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 12982 TX Primary

Addresses

Primary practice location

117 W Highland Dr Ste 101
Boerne, TX 78006-2659

Mailing address

124 Chisholm Dr
Boerne, TX 78006-3558
Phone (830) 431-4097

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": "1374624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1649612268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 CHISHOLM DR",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780063558",
            "telephone_number": "830-431-4097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 W HIGHLAND DR STE 101",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062659",
            "telephone_number": "830-431-4097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN-GARRETT",
        "first_name": "JACQUELYN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-24",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boerne, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; 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.