Annaelise Bowman

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

111147 Issued in TX

Practice address

561 Ridgecrest Rd
Forney, TX 75126-0146

Phone

(972) 552-2420

NPI assigned

Feb 16, 2018

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

Other identifiers 2

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": "1518739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545177600000",
    "number": "1952801896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13301 GALLERIA PL",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752446302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 RIDGECREST RD",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751260146",
            "telephone_number": "972-552-2420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8600 Skyline Dr",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752434198",
            "country_code": "US",
            "telephone_number": "214-355-9001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "ANNAELISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-16",
        "last_updated": "2018-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "111147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "111147",
            "identifier": "111147",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Menchaca Boone, PHARMD
• Jeremy Richard Bortle
• Felix Ojo Bosede
• Nicholas Roger Bosse, D.C.
• Micah Bowman-Spears, BCBA, LBA
• Morgan Bowman
• Kirra Nikole Boyter
• Tionna Brand, LMSW
• Amber Brandel, SLPA
• Vergie M Brannon, GNP,DNP

• Speech-Language Pathologist in Forney, TX
• Providers in Forney, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; 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.