Individual provider Active NPI

Nancy Susan Bowen, M.S ED

  • Student in an Organized Health Care Education/Training Program
  • Far Rockaway, NY
National Provider Identifier
1659827434
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
1412914 Issued in NY
Practice address
1426 Bay 28TH Street
Far Rockaway, NY 11691-1704
Phone
(917) 215-4929
NPI assigned
Aug 31, 2016
Last updated
Aug 31, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 1412914 NY Primary

Addresses

Primary practice location

1426 Bay 28TH Street
Far Rockaway, NY 11691-1704

Mailing address

1426 Bay 28TH St
Far Rockaway, NY 11691-1704
Phone (917) 215-4929

Other names 1

  • Nancy Susan Soulemana Other name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1412914NYMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472601600000",
    "number": "1659827434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1426 BAY 28TH ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116911704",
            "telephone_number": "917-215-4929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1426 BAY 28TH STREET",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116911704",
            "telephone_number": "917-215-4929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "NANCY",
        "middle_name": "SUSAN",
        "credential": "M.S ED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-31",
        "last_updated": "2016-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": "1412914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "SOULEMANA",
            "middle_name": "SUSAN",
            "credential": "M.S ED",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Far Rockaway, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.