Tara Bowman, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

344 Bruner Ave
Evergreen, AL 36401-3145

Phone

(602) 618-9883

NPI assigned

Nov 12, 2014

Last updated

Sep 5, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Tara McQueen Former name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nourish, Inc.Group PAC ID 1557724937, 288 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nourish, Inc.

  • Registered Dietitian
  • Austin, TX
  • NPI 1558097824
  Medicare reassignment Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1415750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1992101331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 BRUNER AVE",
            "city": "EVERGREEN",
            "state": "AL",
            "postal_code": "364013145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 BRUNER AVE",
            "city": "EVERGREEN",
            "state": "AL",
            "postal_code": "364013145",
            "telephone_number": "602-618-9883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "TARA",
        "name_prefix": "Ms.",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-12",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "MCQUEEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Aubrey a. Odom, O.D. P.C. (Primary Eye Care)
• Barnes Family Medical Associates PC
• Stanley Barnes, M.D.
• Bayside Orthopaedic & Rehabilitation Center, P.C. (Bayside Orthopaedic, Sports Medicine & Rehabilitation Center)
• Rickey Allen Blackburn Jr., CRNP
• Sylvia Annette Brinson
• Willis Brown
• Latonya Burroughs, MS
• City Drug Store, Inc.
• Conecuh County

• Registered Dietitian in Evergreen, AL
• Providers in Evergreen, AL by specialty
• Registered Dietitian in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.