Individual provider Active NPI

Judy Herald-Bowden, BS

  • Case Manager/Care Coordinator
  • Pocatello, ID
National Provider Identifier
1679449854
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
611 Wilson Ave Ste 5
Pocatello, ID 83201-5046
Phone
(208) 915-8448
Fax
(208) 240-9257
NPI assigned
Oct 14, 2025
Last updated
Oct 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X ID Primary

Addresses

Primary practice location

611 Wilson Ave Ste 5
Pocatello, ID 83201-5046

Mailing address

611 Wilson Ave Ste 5
Pocatello, ID 83201-5046
Phone (208) 915-8448

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
Bachelor of Science

NPI Registry JSON

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

{
    "created_epoch": "1760400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1679449854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 WILSON AVE STE 5",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832015046",
            "telephone_number": "208-915-8448",
            "fax_number": "208-240-9257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 WILSON AVE STE 5",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832015046",
            "telephone_number": "208-915-8448",
            "fax_number": "208-240-9257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERALD-BOWDEN",
        "first_name": "JUDY",
        "name_prefix": "Ms.",
        "credential": "BS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-14",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocatello, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; 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.