DR. CHRISTINE ELIZABETH KANANI BOWERMAN (NPI# 1619412285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619412285 |
| Entity Type | Individual |
| Full Name | DR. CHRISTINE ELIZABETH KANANI BOWERMAN |
| Credential | PHD, LP |
| Practice Address |
1707 Miller Trunk Hwy Duluth MN 55811-1880 |
| Practice Telephone | 2187296480 |
| Practice Fax Number | 2187299238 |
| Mailing Telephone | 2187296480 |
| Mailing Fax Number | 2187299238 |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2017-01-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
LP6088 | MN | Behavioral Health & Social Service Providers |
| Y | 103TF0200X |
Psychologist Specialization: Forensic |
LP6088 | MN | Behavioral Health & Social Service Providers |
| Street Address |
1707 MILLER TRUNK HWY |
| City | DULUTH |
| State | MN |
| Zip Code | 55811-1880 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417009804 | Susan Ruth Hall | Psychologist | 1707 Miller Trunk Hwy, Duluth, MN 55811-1880 | 2007-01-17 |
| 1619143187 | Calibrate, LLC | Psychologist | 1707 Miller Trunk Hwy, Duluth, MN 55811-1880 | 2008-05-05 |
| 1295903482 | Heather Lynn Rose-carlson | Psychologist | 1707 Miller Trunk Hwy, Duluth, MN 55811-1880 | 2008-02-11 |
| 1033242516 | Kristina L Scott | Counselor | 1707 Miller Trunk Hwy, Duluth, MN 55811-1880 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417515339 | Kyle Olson-merrick | Dentist | 320 W Myrtle St, Ste 100, Duluth, MN 55811 | 2019-06-05 |
| 1184288979 | Pdg, P.a. | Clinic/Center | 4891 Miller Truck Hwy., Suite 100, Hermantown, MN 55811 | 2019-04-26 |
| 1528589843 | Breanna Joy Greenly | Counselor | 4720 Burning Tree Road, Birch Tree Center, Duluth, MN 55811 | 2017-06-28 |
| 1396102398 | Debbie Christian | Registered Nurse | 4815 Burning Tree Rd Suite 100, Duluth, MN 55811 | 2016-01-21 |
| 1831556935 | Megan Marie Paris | Psychologist | 715 East Central Entrance, Duluth, MN 55811 | 2016-01-20 |
| 1740666908 | Angela Fedo | Physical Therapy Assistant | 2101 Trinity Rd, Duluth, MN 55811 | 2015-08-10 |
| 1649657479 | Kayla Stephenson | Specialist/Technologist | 5024 Morris Thomas Road, Hermantown, MN 55811 | 2015-04-30 |
| 1073918843 | Northern Lives Inc. | Assisted Living Facility | 4014 Trinity Road, Duluth, MN 55811 | 2014-10-23 |
| 1114326238 | Donald Hermanson | Specialist/Technologist | 801 Boulder Drive, Apt. 202, Duluth, MN 55811 | 2014-08-14 |
| 1679990857 | Jodie Little | Pharmacist | 801 W. Central Entrance, Shopko Pharmacy 2114, Duluth, MN 55811 | 2014-03-25 |
| Find all providers in zip 55811 | ||||
| Taxonomy Code | 103TF0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Forensic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326483843 | Franco Peric | Psychologist | 230 W Superior St Ste 459, Duluth, MN 55802-1916 | 2013-05-10 |
| 1598328155 | Superior Forensic Consulting | Psychologist | 230 W Superior St Ste 459, Duluth, MN 55802-1916 | 2019-04-19 |
| 1649207341 | Anita M Schlank | Psychologist | 1401 E 1st St, Duluth, MN 55805-2407 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306479316 | Brie Pileggi-valleen | Psychologist | 413 Brandywine Dr, Burnsville, MN 55337-4023 | 2020-02-18 |
| 1083961635 | National Initiatives for Healthy Youth | Psychologist | 7948 Quail Ave N, Brooklyn Park, MN 55443-2423 | 2012-08-13 |
| 1407023591 | Kelly Wilson | Psychologist | 13875 Highway 13 S, Suite 275, Savage, MN 55378-2136 | 2008-05-08 |
| 1043481658 | Edmund Edward Nadolny | Psychologist | 1000 Willmar Ave Sw, Behavioral Forensic Services, Willmar, MN 56201-3067 | 2008-03-23 |
| 1093859332 | Associated Counseling Services, Pllc | Psychologist | 2625 Edgerton St, Little Canada, MN 55117-1620 | 2007-02-19 |
| 1124643408 | Adam Gierok | Psychologist | 1516 W Lake St Ste 110, Minneapolis, MN 55408-2554 | 2020-06-11 |
| 1316587967 | Lauren Reed | Psychologist | 8640 Eagle Creek Cir, Savage, MN 55378-4400 | 2020-01-12 |
| 1376071316 | Alexander G Kovic | Psychologist | 1300 S 2nd St Ste 180, Minneapolis, MN 55454-5000 | 2017-06-02 |
| 1043660517 | Mary Kathryn Kenning | Psychologist | 5100 Eden Ave, Suite 320, Edina, MN 55436-2337 | 2016-06-15 |
| 1306099379 | Nicholas Druhn | Psychologist | 300 S 6th St, Suite C-509, Minneapolis, MN 55487-0351 | 2008-11-03 |
| Find all providers with the same taxonomy | ||||
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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.