Jo Bowlin-Johnson

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

30790 Issued in OR

Practice address

11516 SE Mill Plain Blvd
Ste. J-2
Vancouver, WA 98684-5005

Phone

(360) 882-8027

Fax

(360) 882-8030

NPI assigned

Jul 17, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Jo Bowlin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Luna Healthcare LLC

  • Audiologist-Hearing Aid Fitter
  • Vancouver, WA
  • NPI 1306156542
  NPD (past)

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

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472169600000",
    "number": "1760899199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 350",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980380350",
            "telephone_number": "425-358-0956",
            "fax_number": "877-481-6931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11516 SE MILL PLAIN BLVD",
            "address_2": "STE. J-2",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986845005",
            "telephone_number": "360-882-8027",
            "fax_number": "360-882-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWLIN-JOHNSON",
        "first_name": "JO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-17",
        "last_updated": "2016-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "WA",
            "license": "LD 60155983",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "OR",
            "license": "30790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2038850",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500675781",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JO",
            "last_name": "BOWLIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Todd David Bowerly, PH.D.
• Brook Lee Bowers, RDH
• Lisa Joy Bowers, RNFA
• Nina Arnold Bowers, DC
• Traci Lee Bowlby, C.O.T.A/L
• Brenden Cody Bowman
• Jared Thomas Bowyer, DDS
• Amanda Box
• Tami Boyce
• Heather Gay Boyd Roberts, ND

• Audiologist-Hearing Aid Fitter in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Audiologist-Hearing Aid Fitter in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2016; 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.