Active NPI
Caroline M Bowman, RD
- Registered Dietitian
- Portland, ME
National Provider Identifier
1871740944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- D969
- Practice address
- 887 Congress St Ste 320
Portland, ME 04102-3103 - Phone
- (207) 662-5522
- Fax
- (207) 662-5527
- NPI assigned
- Aug 20, 2008
- Sex
- Female
- Sole proprietor
- No
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
| License | State | Type | Specialty |
|---|---|---|---|
| D969 | ME | MD | Registered Dietitian |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | D969 | ME | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
887 Congress St Ste 320
Portland, ME 04102-3103
Mailing address
301 US Route 1
Building C
Scarborough, ME 04074-7609
Phone (207) 396-8600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 4, 2011.
{
"created_epoch": "1219190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294099200000",
"number": "1871740944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 US ROUTE 1",
"address_2": "BUILDING C",
"city": "SCARBOROUGH",
"state": "ME",
"postal_code": "040747609",
"telephone_number": "207-396-8600",
"fax_number": "207-396-8632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "887 CONGRESS ST STE 320",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041023103",
"telephone_number": "207-662-5522",
"fax_number": "207-662-5527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWMAN",
"first_name": "CAROLINE",
"middle_name": "M",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-20",
"last_updated": "2011-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "ME",
"license": "D969",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.