KELLEY DAWN BOWEN (NPI# 1609489962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609489962 |
| Entity Type | Individual |
| Full Name | KELLEY DAWN BOWEN |
| Practice Address |
1108 Raccoon Creek Rd Branchland WV 25506-9604 |
| Mailing Address |
1106 Raccoon Creek Rd Branchland WV 25506-9604 |
| Practice Telephone | 3047783977 |
| Mailing Telephone | 3047787259 |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2020-08-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
WV | Nursing Service Related Providers |
| Street Address |
1108 RACCOON CREEK RD |
| City | BRANCHLAND |
| State | WV |
| Zip Code | 25506-9604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275146516 | Courtney Dawn Bowen | Technician | 1108 Raccoon Creek Rd, Branchland, WV 25506-9604 | 2020-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245746809 | Sheila Ann Mays | Technician | 1100 Raccoon Creek Road, Branchland, WV 25506 | 2017-12-19 |
| 1386943405 | Mary Elizabeth Sangregory | Licensed Practical Nurse | 342 Camp Branch Rd, Branchland, WV 25506 | 2011-03-16 |
| 1447864178 | Angela R Samuel-dean | Technician | 13 Chaney Br, Branchland, WV 25506-6029 | 2020-09-01 |
| 1801406707 | Cassandra Clark | Technician | 1284 4 Mile Crk, Branchland, WV 25506-6709 | 2020-08-05 |
| 1063024842 | Courtney Ann Jackson | Technician | 5001 Mcclellan Hwy, Branchland, WV 25506-7704 | 2020-08-21 |
| 1871105387 | Travis Wade Saunders | Technician | 196 Little Laurel Crk, Branchland, WV 25506-7756 | 2020-08-18 |
| 1588973739 | Jeremy Dale Neace | Pharmacist | 5798 Mcclellan Hwy, Branchland, WV 25506-8700 | 2010-10-05 |
| 1548379878 | Rite Aid of West Virginia Inc | Durable Medical Equipment & Medical Supplies | 5798 Mcclellan Highway, Branchland, WV 25506-8700 | 2006-08-30 |
| 1164948972 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 5798 Mcclellan Hwy, Branchland, WV 25506-8700 | 2017-08-15 |
| 1598054744 | Sharon Rose Morrison | Pharmacist | 5798 Mcclellan Hwy, Branchland, WV 25506-8700 | 2011-03-28 |
| Find all providers in zip 25506 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760080162 | Brianna Skye Meadows | Technician | 74 Palermo Rd, Branchland, WV 25506-9359 | 2020-10-16 |
| 1720686934 | Ledena Sue Stevens | Technician | 5342 Mcclellan Hwy, Branchland, WV 25506-8725 | 2020-10-12 |
| 1447864178 | Angela R Samuel-dean | Technician | 13 Chaney Br, Branchland, WV 25506-6029 | 2020-09-01 |
| 1063024842 | Courtney Ann Jackson | Technician | 5001 Mcclellan Hwy, Branchland, WV 25506-7704 | 2020-08-21 |
| 1871105387 | Travis Wade Saunders | Technician | 196 Little Laurel Crk, Branchland, WV 25506-7756 | 2020-08-18 |
| 1922619030 | Brenda Conner | Technician | 21 Pound Fork Rd, Branchland, WV 25506-9622 | 2020-08-12 |
| 1801406707 | Cassandra Clark | Technician | 1284 4 Mile Crk, Branchland, WV 25506-6709 | 2020-08-05 |
| 1023628179 | Clarissa Estep | Technician | 317 Low Gap Rd, Branchland, WV 25506-8714 | 2020-08-04 |
| 1467061747 | Jacqueline Jeffery | Technician | 43 Lees Lake Rd, Branchland, WV 25523 | 2020-07-23 |
| 1245746809 | Sheila Ann Mays | Technician | 1100 Raccoon Creek Road, Branchland, WV 25506 | 2017-12-19 |
| Find all providers in BRANCHLAND | ||||
| City | BRANCHLAND |
| Zip Code | 25506 |
Please comment or provide details below to improve the information on KELLEY DAWN BOWEN.
| 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.