Timothy Patrick Cowman

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

License

SAFEAA 880QW Issued in WA

Practice address

4615 E Robin CT
West Richland, WA 99353-9582

Phone

(509) 392-3381

Fax

(509) 967-2967

NPI assigned

Feb 6, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

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": "1360108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360108800000",
    "number": "1881933117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4615 E ROBIN CT",
            "city": "WEST RICHLAND",
            "state": "WA",
            "postal_code": "993539582",
            "telephone_number": "509-392-3381",
            "fax_number": "509-967-2967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4615 E ROBIN CT",
            "city": "WEST RICHLAND",
            "state": "WA",
            "postal_code": "993539582",
            "telephone_number": "509-392-3381",
            "fax_number": "509-967-2967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWMAN",
        "first_name": "TIMOTHY",
        "middle_name": "PATRICK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-06",
        "last_updated": "2013-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "WA",
            "license": "SAFEAA 880QW",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Modifications Contractor in West Richland, WA
• Providers in West Richland, WA by specialty
• Home Modifications Contractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; 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.