KIMBERLY BOWDEN (NPI# 1326580788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326580788 |
| Entity Type | Individual |
| Full Name | KIMBERLY BOWDEN |
| Practice Address |
1750 Nebraska Ave Bldg B Grants Pass OR 97527-5700 |
| Mailing Address |
715 Sw Ramsey Ave Grants Pass OR 97527-5500 |
| Practice Telephone | 5414763302 |
| Mailing Telephone | 5418622403 |
| Mailing Fax Number | 5418622403 |
| Enumeration Date | 2016-11-16 |
| Last Update Date | 2016-11-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063946416 | Kimberly M Bowden | Registered Nurse | 3440 Oakwood Hills Pkwy, Eau Claire, WI 54701-7698 | 2017-04-12 |
| Street Address |
1750 NEBRASKA AVE BLDG B |
| City | GRANTS PASS |
| State | OR |
| Zip Code | 97527-5700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225332406 | Daniel Ellis Bedford | Counselor | 1750 Nebraska Ave Bldg B, Grants Pass, OR 97527-5700 | 2011-01-03 |
| 1225635758 | Emily Vermeer | Counselor | 1750 Nebraska Ave Bldg B, Grants Pass, OR 97527-5700 | 2020-10-07 |
| 1598362089 | Lindsey Walasek | Counselor | 1750 Nebraska Ave Bldg B, Grants Pass, OR 97527-5700 | 2020-10-07 |
| 1144848656 | Bethany Givens | Counselor | 1750 Nebraska Ave Bldg B, Grants Pass, OR 97527-5700 | 2020-07-10 |
| 1851919344 | Kyle Moore | Counselor | 1750 Nebraska Ave Bldg B, Grants Pass, OR 97527-5700 | 2020-07-10 |
| 1790303238 | Joshua Todd | Counselor | 1750 Nebraska Ave Bldg B, Grants Pass, OR 97527-5700 | 2020-07-10 |
| 1407477110 | Ian Cole Hernandez | Counselor | 1750 Nebraska Ave Bldg B, Grants Pass, OR 97527-5700 | 2020-05-04 |
| 1245891282 | Jordan Cooley | Counselor | 1750 Nebraska Ave Bldg B, Grants Pass, OR 97527-5700 | 2019-06-20 |
| 1427614205 | April Rodman | Counselor | 1750 Nebraska Ave Bldg B, Grants Pass, OR 97527-5700 | 2019-05-16 |
| 1730646738 | Patti Lanham | Counselor | 1750 Nebraska Ave Bldg B, Grants Pass, OR 97527-5700 | 2019-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528618600 | Sandra J Campos | Technician | 365 Sleepy Hollow Loop, Grants Pass, OR 97527 | 2019-09-19 |
| 1720501026 | Kelly Bates | Massage Therapist | 501 Cheney Creek Rd, Grants Pass, OR 97527 | 2017-07-19 |
| 1740650134 | Sara Brelsford | Nurse Practitioner | 1075 Sw Grandview Avenue, Suite 200, Grants Pass, OR 97527 | 2015-09-29 |
| 1962816348 | Kimberly Hathaway | Counselor | 320 Ramsey Place, Grants Pass, OR 97527 | 2014-06-13 |
| 1801216999 | Christina Ann Marie Schultz | Massage Therapist | 242 Curtis Drive, Grants Pass, OR 97527 | 2014-04-16 |
| 1013343359 | Shaunte Angelique Duron | Counselor | 711 Sw Ramsey Avenue, Grants Pass, OR 97527 | 2013-09-18 |
| 1063848547 | Megan Faye Armstrong | Behavioral Analyst | 715 Ramsey Aveenue, Grants Pass, OR 97527 | 2013-09-17 |
| 1124454608 | Mark Albert Cook | Behavioral Analyst | 1153 Sw Cal Allen Lane, Grants Pass, OR 97527 | 2013-09-17 |
| 1952741969 | Mitchell K Sheeler | Denturist | 1850 Williams Hwy, Grants Pass, OR 97527 | 2013-07-05 |
| 1790038339 | White City Vamc | Clinic/Center | 1877 Williams Highway, Grants Pass, OR 97527 | 2012-10-19 |
| Find all providers in zip 97527 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134752579 | Lisa Kennedy | Peer Specialist | 132 Ne B St # 24, Grants Pass, OR 97526-2114 | 2020-02-13 |
| 1205476777 | Kyla M Mccormick | Peer Specialist | 109 Nw Manzanita Avenue, Grants Pass, OR 97526 | 2020-01-13 |
| 1922654201 | Titan Colby Marval | Peer Specialist | 109 N.e. Menzanita Avenue, Grants Pass, OR 97526-1400 | 2019-08-13 |
| 1881063956 | Monica Conley | Peer Specialist | 1215 Sw G Street, Grants Pass, OR 97526-2544 | 2015-09-18 |
| 1346871555 | Benjamin Tayson | Peer Specialist | 356 Ne Beacon Dr, Grants Pass, OR 97526-3815 | 2020-01-28 |
| 1881237022 | Jestin Murphy | Peer Specialist | 1215 Sw G St, Grants Pass, OR 97526-2544 | 2019-10-21 |
| 1053966218 | Dana Alan Zavolta | Peer Specialist | 320 Sw Ramsey Ave, Grants Pass, OR 97527-5529 | 2019-08-05 |
| 1295389427 | Patricia Arleen Kraemer | Peer Specialist | 1545 Harbeck Rd, Grants Pass, OR 97527-5605 | 2019-07-25 |
| 1801351465 | Anna Waldon | Peer Specialist | 418 Nw 6th St, Grants Pass, OR 97526-2006 | 2019-02-07 |
| 1801367958 | Cynthia Batchelor | Peer Specialist | 1920 Sw Kurtz Ln, Grants Pass, OR 97526-2803 | 2018-12-16 |
| Find all providers in GRANTS PASS | ||||
| City | GRANTS PASS |
| Zip Code | 97527 |
Please comment or provide details below to improve the information on KIMBERLY BOWDEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.