Individual provider Active NPI

Nyia Bowens, BSW

  • Clinical Social Worker
  • Tallahassee, FL
National Provider Identifier
1992171359
Registry record updated Jun 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16583 Issued in FL
Practice address
981 Willow Creek LN
Tallahassee, FL 32301-7320
Phone
(305) 479-1759
Fax
(850) 331-6489
NPI assigned
Aug 19, 2015
Last updated
Jun 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NU
Clinical Social Worker 1041C0700X 16583 FL Primary

Addresses

Primary practice location

981 Willow Creek LN
Tallahassee, FL 32301-7320

Mailing address

981 Willow Creek LN
Tallahassee, FL 32301-7320
Phone (305) 479-1759

Other practice location 1

22790 SW 112th Ave
Miami, FL 33170-7602
Phone (305) 235-2616 ext. 196

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

LicenseStateTypeSpecialty
16583FLMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593216000000",
    "number": "1992171359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "981 WILLOW CREEK LN",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323017320",
            "telephone_number": "305-479-1759",
            "fax_number": "850-331-6489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "981 WILLOW CREEK LN",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323017320",
            "telephone_number": "305-479-1759",
            "fax_number": "850-331-6489"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22790 SW 112th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331707602",
            "country_code": "US",
            "telephone_number": "305-235-2616 x196",
            "fax_number": "305-235-6178",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWENS",
        "first_name": "NYIA",
        "credential": "BSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-19",
        "last_updated": "2020-06-27",
        "certification_date": "2020-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "16583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2020; 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.