Geraldine P Bowers

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

ISW3007 Issued in FL

Practice address

1856 Old Fleming Grove Rd
Fleming Island, FL 32003-4549

Phone

(904) 781-7797

Fax

(904) 781-8685

NPI assigned

May 20, 2013

Last updated

May 20, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1369008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369008000000",
    "number": "1699111534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1856 OLD FLEMING GROVE RD",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320034549",
            "telephone_number": "904-781-7797",
            "fax_number": "904-781-8685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1856 OLD FLEMING GROVE RD",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320034549",
            "telephone_number": "904-781-7797",
            "fax_number": "904-781-8685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWERS",
        "first_name": "GERALDINE",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-20",
        "last_updated": "2013-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "ISW3007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "593128476",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathlene Bobbitt
• Ravi Kiran Bodavula, RPH
• Harley Bogley, A.P.
• Carrie Bohannon, PHARMD
• Trey Boles
• Courtney Boyd, RBT
• Harold Dale Boyd, MD
• Lindsey H. Boyd, CNM ARNP
• Amie Bozeman, APRN, FNP-C
• Steven Paul Braden, HAS-BC

• Mental Health Counselor in Fleming Island, FL
• Providers in Fleming Island, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; 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.