Individual provider Active NPI

Zenobia Bowen, DPM

  • Podiatrist
  • Temple Terrace, FL
National Provider Identifier
1679675268
Registry record updated Jul 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
P03055 Issued in FL
Practice address
6632 Glencoe Dr
Temple Terrace, FL 33617-3801
Phone
(813) 261-0382
Fax
(813) 261-0382
NPI assigned
Sep 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X P03055 FL Primary

Addresses

Primary practice location

6632 Glencoe Dr
Temple Terrace, FL 33617-3801

Mailing address

6632 Glencoe Dr
Temple Ter, FL 33617-3801
Phone (866) 435-3668

Other identifiers 3

IdentifierTypeStateIssuer
188706OtherFLAMERIGROUP
340358100MedicaidFL
65807OtherFLBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060221000812 FL Practitioner - Podiatry 1052327590 Reassigns benefits to 1 organization
Practice locations: Temple Terrace, FL

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1999
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6632 Glencoe Dr
Temple Terrace, FL 33617-3801
Phone (813) 261-0382

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
P03055FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Access LLC CurrentSince Dec 5, 2017 Accepting new patients
Advanced Healthcare Alternatives Center for Integrative Medicine and Past Accepting new patients

Organizations & group practices 2

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": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436227200000",
    "number": "1679675268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6632 GLENCOE DR",
            "city": "TEMPLE TER",
            "state": "FL",
            "postal_code": "336173801",
            "telephone_number": "866-435-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6632 GLENCOE DR",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336173801",
            "telephone_number": "813-261-0382",
            "fax_number": "813-261-0382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "ZENOBIA",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-02",
        "last_updated": "2015-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "P03055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "188706",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340358100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "65807",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple Terrace, FL

Sources for this page

Verify at the official NPI Registry.