MS. SHANNON LEE BOWERMAN


Address: 4901 Fairwood Blvd Ne Apt 75, Tacoma, WA 98422-2121
Phone: 2539825055

MS. SHANNON LEE BOWERMAN (NPI# 1801301528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801301528
Entity Type Individual
Full Name MS. SHANNON LEE BOWERMAN
Practice Address 4901 Fairwood Blvd Ne Apt 75
Tacoma
WA 98422-2121
Practice Telephone 2539825055
Enumeration Date 2017-12-04
Last Update Date 2017-12-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 124Q00000X Dental Hygienist Dental Providers

Office Location

Street Address 4901 FAIRWOOD BLVD NE APT 75
City TACOMA
State WA
Zip Code 98422-2121

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NPI Name Taxonomy Address Enumeration
1033650700 Kristen Michelle O'leary Student in an Organized Health Care Education/Training Program 6720 Eastside Drive Ne, Suite 2, Tacoma, WA 98422 2017-03-15
1386989853 Lori Shelmadine Occupational Therapist 5421 21st Ave Ct Ne, Tacoma, WA 98422 2012-12-10
1174787949 Antonio Marcus Anderson Pharmacist 5514 24th Ave Ne, Tacoma, WA 98422 2008-07-11
1407956659 Scott Barry Finlayson Massage Therapist 6720 Eastside Dr Ne, Suite 2, Tacoma, WA 98422 2006-09-25
1669574703 Leonard Ernest Loflin Dentist 4811 Wa Tau Ga Ne, Tacoma, WA 98422 2006-09-01
1114910775 Daisy Sarama Zachariah Legal Medicine 6105 Panorama Dr Ne, Tacoma, WA 98422 2005-08-29
1144312729 Diana King Family Medicine 4215 49th Ave Ne, Tacoma, WA 98422 2006-09-29
1528254547 Janet E Massey Physical Therapist 1422 Beach Dr Ne, Suite 3, Tacoma, WA 98422-1005 2007-09-24
1003240177 Michael Connolly Behavioral Analyst 1826 Markham Ave Ne # B, Tacoma, WA 98422-1015 2013-08-26
1649441031 The Nw Massage Center, LLC Massage Therapist 6716 E Side Dr Ne, Tacoma, WA 98422-1147 2008-03-13
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Taxonomy Information

Taxonomy Code 124Q00000X
Grouping Dental Providers
Classification Dental Hygienist

Taxonomy Definition

An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477022069 Deborah Anne Logan Dental Hygienist North Division Street Bldg 2103, Tacoma, WA 98431-0001 2018-11-13
1205325966 Gloria Judith Penate I Dental Hygienist 2103 North Division Street, Tacoma, WA 98433 2018-05-08
1447760442 Kimberly Merle Todd Dental Hygienist S 14th Street and Railroad Avenue, Building # 3740p, Tacoma, WA 98433 2017-10-04
1558889931 Katherine Joanne Tarabochia Dental Hygienist North Divisionst Bldg 210-3p, Tacoma, WA 98431-0001 2017-09-06
1003332677 Lindsey Wisdom Dental Hygienist Bldg 9119 Mil Park Ave, Tacoma, WA 98433 2017-08-16
1467977215 Anthony Booker Dental Hygienist 6137 S Cushman Ave, Tacoma, WA 98408-2352 2017-08-12
1518319417 Rosemary E Garvey Dental Hygienist N Division St Bldg 2103, Tacoma, WA 98431-1100 2016-07-05
1356791057 Shannon Mullins Dental Hygienist Jblm, Building 9119 Mil Park Ave., Tacoma, WA 98431-0001 2016-06-14
1639529340 Shannon Walker Dental Hygienist Mil Park Ave Bldg 9119, Tacoma, WA 98431-0001 2016-06-14
1508254665 Ashley Adams Dental Hygienist 1215 S 11th St # At, Tacoma, WA 98405-4020 2014-12-24
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Competitor

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City TACOMA
Zip Code 98422

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Dataset Information

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.

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