Active NPI
Sophia Bowe, ATC
- Athletic Trainer
- Seattle, WA
National Provider Identifier
1871996108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- A1 60392824
- Practice address
- 406 Summit Ave E
Apt a
Seattle, WA 98102-4827 - Phone
- (360) 316-9177
- NPI assigned
- Oct 1, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | A1 60392824 | WA | Primary |
Addresses
Primary practice location
406 Summit Ave E
Apt a
Seattle, WA 98102-4827
Mailing address
406 Summit Ave E
Apt a
Seattle, WA 98102-4827
Phone (360) 316-9177
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2000014182 | Other | WA | BOC |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A1 60392824 | WA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412121600000",
"number": "1871996108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "406 SUMMIT AVE E",
"address_2": "APT A",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981024827",
"telephone_number": "360-316-9177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "406 SUMMIT AVE E",
"address_2": "APT A",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981024827",
"telephone_number": "360-316-9177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWE",
"first_name": "SOPHIA",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-01",
"last_updated": "2014-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "WA",
"license": "A1 60392824",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOC",
"identifier": "2000014182",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.