KIMAKA BOWENS (NPI# 1689067324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689067324 |
| Entity Type | Individual |
| Full Name | KIMAKA BOWENS |
| Practice Address |
14 Maroon Dr Picayune MS 39466-8049 |
| Mailing Address |
14 Maroon Dr. Picayune MS 39466 |
| Practice Telephone | 6013471023 |
| Mailing Telephone | 6013471023 |
| Enumeration Date | 2015-03-05 |
| Last Update Date | 2015-03-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SF0001X |
Clinical Nurse Specialist Specialization: Family Health |
R872000 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
14 MAROON DR |
| City | PICAYUNE |
| State | MS |
| Zip Code | 39466-8049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295270684 | Ashley Royerre Talley | Speech-Language Pathologist | 621 W Canal St, Picayune, MS 39466 | 2016-12-21 |
| 1306396213 | Kathy English | Counselor | 102 Roy St, Picayune, MS 39466 | 2016-10-04 |
| 1124379631 | Hancock Medical Health Services, Inc. | Nurse Practitioner | 23350 Highway 43, Picayune, MS 39466 | 2012-09-24 |
| 1578876280 | Joy A. Weidemann | Social Worker | 120 Street A Ste C, Picayune, MS 39466 | 2010-07-22 |
| 1407188477 | Picayune School District | Local Education Agency (LEA) | 706 Goodyear Blvd., Picayune, MS 39466 | 2010-02-02 |
| 1164751079 | Picayune School District Early Head Start | Early Intervention Provider Agency | 1620 Rosa St, Picayune, MS 39466 | 2009-12-24 |
| 1124352505 | Stephanie Deanne Farrell | Speech-Language Pathologist | 201 E. Second Street, Picayune, MS 39466 | 2009-10-01 |
| 1902084007 | Ludwick L Lohnes Dc LLC | Chiropractor | 214 Norwood Street, Picayune, MS 39466 | 2008-01-31 |
| 1932395878 | Prohealth Solutions, Inc | Occupational Therapist | 722 West Canal Street, Picayune, MS 39466 | 2007-09-24 |
| 1669677431 | Terri L Bordelon | Social Worker | 214 N Curran, Suite A, Picayune, MS 39466 | 2007-06-20 |
| Find all providers in zip 39466 | ||||
| Taxonomy Code | 364SF0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Family Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386949501 | Health Care Plus | Clinical Nurse Specialist | 305 N 2nd St, Booneville, MS 38829-2029 | 2011-01-19 |
| 1285815548 | Sandra J Bonom | Clinical Nurse Specialist | 126 Pine Ridge Cir, Brandon, MS 39047-7514 | 2007-11-15 |
| 1134523111 | Carli Crapps | Clinical Nurse Specialist | 2500 North State Street, Jackson, MS 39216 | 2014-10-20 |
| 1154722569 | Christine Haynes Roberts | Clinical Nurse Specialist | 2500 North State Street, Jackson, MS 39216-4500 | 2014-09-05 |
| 1477706323 | Heather Gilmer | Clinical Nurse Specialist | 566 E Main St, Louisville, MS 39339-2742 | 2008-10-23 |
| 1770761728 | Mary Kelley Inc | Clinical Nurse Specialist | 1901 Mission 66, Vicksburg, MS 39180 | 2008-02-01 |
Please comment or provide details below to improve the information on KIMAKA BOWENS.
| 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.