KELLEY FRANCES BOWMAN (NPI# 1518118173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518118173 |
Entity Type | Individual |
Full Name | KELLEY FRANCES BOWMAN |
Other Name | KELLEY FRANCES LEE |
Credential | P.A. |
Practice Address |
1314 Oak St Melbourne FL 32901-3111 |
Mailing Address |
Po Box 410512 Melbourne FL 32941-0512 |
Practice Telephone | 3217277992 |
Practice Fax Number | 3217277664 |
Mailing Telephone | 3217277992 |
Mailing Fax Number | 3217277664 |
Enumeration Date | 2008-10-01 |
Last Update Date | 2008-10-07 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9104618 | FL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1314 OAK ST |
City | MELBOURNE |
State | FL |
Zip Code | 32901-3111 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235131145 | Ashish Mahindra | Internal Medicine | 1314 Oak St, Melbourne, FL 32901-3111 | 2005-08-10 |
1477194611 | Travis Alford | Nurse Practitioner | 1314 Oak St, Melbourne, FL 32901-3111 | 2019-09-30 |
1184195083 | Michael Scott Gavigan | Hospitalist | 1314 Oak St, Melbourne, FL 32901 | 2018-12-17 |
1558866574 | Natasha Gomes | Nurse Practitioner | 1314 Oak St, Melbourne, FL 32901 | 2018-03-30 |
1952818650 | Jordan Wiles | Nurse Practitioner | 1314 Oak St, Melbourne, FL 32901-3111 | 2018-01-03 |
1902258775 | Lisa Linder | Hospitalist | 1314 Oak St, Melbourne, FL 32901-3111 | 2016-07-06 |
1295107035 | Rebecca Uma Clark | Nurse Practitioner | 1314 Oak St, Melbourne, FL 32901 | 2015-10-20 |
1144660424 | Jose Valentin | Physician Assistant | 1314 Oak St, Melbourne, FL 32901-3111 | 2013-07-01 |
1285973453 | Robin Wendee Turinetti | Nurse Practitioner | 1314 Oak St, Melbourne, FL 32901-3111 | 2013-02-07 |
1174861405 | Acksa Chacko Kucharyson | Physician Assistant | 1314 Oak St, Melbourne, FL 32901-3111 | 2013-01-22 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
1124676820 | Abbi Dell Lee | Behavioral Analyst | 3251 Engineering St, Melbourne, FL 32901 | 2019-08-27 |
1750856878 | Jeffrey Michael Cavanagh | Behavior Technician | 3251 Engineering Street, Melbourne, FL 32901 | 2018-10-04 |
1740766021 | Amanda Miller | Behavior Technician | 1885 W Hibiscus Blvd, Melbourne, FL 32901 | 2018-07-19 |
1396244406 | Dragen II LLC | Urology | 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 | 2018-02-03 |
1225550692 | Cabrit Psychotherapy Services LLC | Marriage & Family Therapist | 100 Rialto Place, Suite 700, Melbourne, FL 32901 | 2017-07-07 |
1487188058 | Project Response, Inc. | Clinic/Center | 747 S. Apollo Boulevard, Melbourne, FL 32901 | 2017-04-20 |
1184174575 | Paulette Swanson | Physical Therapist | 611 East Sheridan Rd, Melbourne, FL 32901 | 2016-10-10 |
1841747839 | Nicholas Wilson | Social Worker | 3661 S. Babcock St., Melbourne, FL 32901 | 2016-09-07 |
1467804278 | Nickolas Hetherington | Occupational Therapist | 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 | 2016-07-05 |
Find all providers in zip 32901 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093263873 | Kaitlin Lassen | Physician Assistant | 8057 Spyglass Hill Rd Ste 104, Melbourne, FL 32940-8565 | 2016-09-21 |
1386815835 | Jessica L Boudreaux-milligan | Physician Assistant | 2290 W Eau Gallie Blvd Ste 210b, Melbourne, FL 32935 | 2008-03-12 |
1013106376 | Sabrina Wu Staples | Physician Assistant | 3337 Hoofprint Dr, Melbourne, FL 32940-2304 | 2007-10-23 |
1528032547 | David A Harris | Physician Assistant | 1341 Medical Park Dr Ste 201, Melbourne, FL 32901 | 2006-02-15 |
1023094414 | Patrick Gene Campbell | Physician Assistant | 1494 Avocado Ave, Melbourne, FL 32935-6532 | 2005-12-19 |
1184618233 | George David Mccullough | Physician Assistant | 1051 S Hickory St, Ste A, Melbourne, FL 32901-1962 | 2005-09-06 |
1255877981 | Michael Paul Teepe | Physician Assistant | 1341 Medical Park Dr Ste 201, Melbourne, FL 32901-3235 | 2017-01-19 |
1336597137 | Barbara Suzanne Coleman | Physician Assistant | 1341 Medical Park Dr Ste 201, Melbourne, FL 32901-3235 | 2016-06-02 |
1144687534 | Alexis Best | Physician Assistant | 1223 Gateway Dr Ste 1e, Melbourne, FL 32901-2607 | 2016-01-15 |
1346662103 | Casey W Langel | Physician Assistant | 2222 S Harbor City Blvd, Suite 610, Melbourne, FL 32901-5594 | 2014-01-14 |
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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.