Quanita Latrice Bowden

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

238489 Issued in FL

Practice address

480 N Range Rd
Cocoa, FL 32926-5355

Phone

(407) 967-6870

NPI assigned

Aug 12, 2022

Last updated

Aug 12, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1660262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1851029235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 N RANGE RD",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329265355",
            "telephone_number": "321-537-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 N RANGE RD",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329265355",
            "telephone_number": "407-967-6870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "480 N Range Rd",
            "address_purpose": "LOCATION",
            "city": "Cocoa",
            "state": "FL",
            "postal_code": "329265355",
            "country_code": "US",
            "telephone_number": "321-537-9022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWDEN",
        "first_name": "QUANITA",
        "middle_name": "LATRICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-12",
        "last_updated": "2022-08-12",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "FL",
            "license": "238489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alishia Marie Bonasera, M.S., BCBA
• Elijah Bookhart
• Mykenzi Jean Boone
• Matthew Border, LMHC
• Paloma Bornas Contreras
• Ashley Bowers
• J'Hane Bradbury
• Bailee Bray
• Tara R Breen, RBT
• Brevard Health Alliance

• Community Health Worker in Cocoa, FL
• Providers in Cocoa, FL by specialty
• Community Health Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; 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.