Individual provider Active NPI

Andrew Gregory Bowers, SLP-CCC

  • Speech-Language Pathologist
  • Dewey, AZ
National Provider Identifier
1740431196
Registry record updated Nov 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP-5433 Issued in AZ
Practice address
422 N. la Paz St.
Dewey, AZ 86327
Phone
(928) 899-0374
Fax
(928) 277-0790
NPI assigned
Oct 3, 2008
Last updated
Nov 11, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP-5433 AZ Primary

Addresses

Primary practice location

422 N. la Paz St.
Dewey, AZ 86327

Mailing address

422 N la Paz St
Dewey, AZ 86327-7147
Phone (928) 899-0374

Other identifiers 1

IdentifierTypeStateIssuer
SLP-5433OtherAZADHS

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
SLP-5433AZMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1222992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289433600000",
    "number": "1740431196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 N LA PAZ ST",
            "city": "DEWEY",
            "state": "AZ",
            "postal_code": "863277147",
            "telephone_number": "928-899-0374",
            "fax_number": "928-277-0790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 N. LA PAZ ST.",
            "city": "DEWEY",
            "state": "AZ",
            "postal_code": "86327",
            "telephone_number": "928-899-0374",
            "fax_number": "928-277-0790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWERS",
        "first_name": "ANDREW",
        "middle_name": "GREGORY",
        "credential": "SLP-CCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-03",
        "last_updated": "2010-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP-5433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADHS",
            "identifier": "SLP-5433",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dewey, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2010; 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.