NPIMap

Organization Active NPI

Shirley Bowen

  • Speech-Language Assistant
  • Greenville, NC
National Provider Identifier
1750579090
Registry record updated Aug 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
5976 Issued in NC
Legal business name
SHIRLEY BOWEN
Practice address
1913 E 9TH St
Greenville, NC 27858-2922
Phone
(252) 531-9009
Fax
(252) 758-9465
NPI assigned
Oct 11, 2007
Last updated
Aug 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2008

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

Authorized official

Name
Ms. Shirley H Bowen, MS, CCC-SLPNPI 1801947197
Title
President/Clinical Director
Phone
(252) 531-9009

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 5976 NC Primary

Addresses

Primary practice location

1913 E 9TH St
Greenville, NC 27858-2922

Mailing address

PO Box 2186
Greenville, NC 27836-0186
Phone (252) 531-9009

Other identifiers 1

IdentifierTypeStateIssuer
7412012MedicaidNC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219363200000",
    "number": "1750579090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2186",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278360186",
            "telephone_number": "252-531-9009",
            "fax_number": "252-758-9465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1913 E 9TH ST",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278582922",
            "telephone_number": "252-531-9009",
            "fax_number": "252-758-9465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIRLEY BOWEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2008-08-22",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "252-531-9009",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "NC",
            "license": "5976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7412012",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2008; 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.