Tristan Renee Bowman
Student in an Organized Health Care Education/Training Program

Address: 1700 Mchenry Way, Modesto, CA 95354
Phone: 2095505869

Tristan Renee Bowman (NPI# 1669987301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1669987301
Entity Type Individual
Full Name Tristan Renee Bowman
Gender Female
Practice Address 1700 Mchenry Way
Modesto
CA 95354
Practice Telephone 2095505869
Practice Fax Number 2095230442
Mailing Address 1700 Mchenry Way
Modesto
CA 95354
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2017-12-04
Last Update Date 2017-12-04

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972168219 Kourosh Mehrazar Student in an Organized Health Care Education/Training Program 1405 Villette Ct, Modesto, CA 95356-8904 2019-05-02
1609439793 Sylvia Margarita Castro Student in an Organized Health Care Education/Training Program 1441 Florida Ave # 102, Modesto, CA 95350-4404 2019-04-15
1093277345 Flor De Maria Lopez Flores Student in an Organized Health Care Education/Training Program 1400 Florida Ave Ste 102, Modesto, CA 95350-4446 2019-04-04
1427518422 Maham Rehman Student in an Organized Health Care Education/Training Program 2301 Powell Dr Apt 3, Modesto, CA 95350-1875 2019-03-25
1609334929 Yaira Denis Aguilar Student in an Organized Health Care Education/Training Program 2000 W Briggsmore Ave # Stii, Modesto, CA 95350-3839 2019-03-05
1104390194 Tyler Lee Lemings Student in an Organized Health Care Education/Training Program 2701 Mozart Dr, Modesto, CA 95358-8854 2019-01-14
1346727922 Jorge Anguiano Student in an Organized Health Care Education/Training Program 821 Crippen Ave, Modesto, CA 95351-7700 2018-07-26
1740796648 Paloma Angelica Parra Student in an Organized Health Care Education/Training Program 1400 K St Ste I, Modesto, CA 95354-1018 2017-12-15
1326575002 Rim Amare Gebremariam Student in an Organized Health Care Education/Training Program 1400 Florida Ave Ste 200, Modesto, CA 95350-4445 2017-05-12
1023557543 Jasmine Dominique Brooks Student in an Organized Health Care Education/Training Program 2521 Pescadero Pl, Modesto, CA 95355-3439 2017-02-16
Find all providers in MODESTO

Office Location

Street Address 1700 MCHENRY WAY
City MODESTO
State CA
Zip Code 95354

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134647944 Melissa Kathleen Huizar Occupational Therapist 730 17th Street, Modesto, CA 95354 2017-08-31
1861948424 Daniel Jones Specialist/Technologist 224 Eula Drive, Modesto, CA 95354 2016-09-01
1710333976 Elite First Health Clinic/Center 3121 Yosemite Blvd Ste D2, Modesto, CA 95354 2016-05-06
1790169084 Ronika Rodriguez Licensed Vocational Nurse 328 Thrasher Ave, Modesto, CA 95354 2015-07-16
1942688528 Progressive Home Health and Hospice Care, LLC Home Health 1619 H Street, Modesto, CA 95354 2015-05-14
1225434277 Ashley Ann Brown Case Manager/Care Coordinator 1000 Needham, Modesto, CA 95354 2014-11-18
1922380518 Thao Truong Specialist 1321 I St Ste #3, Modesto, CA 95354 2011-09-09
1437441938 Amy Marie Lipomi Counselor 613 13th Street, Suite B, Modesto, CA 95354 2011-05-03
1871800813 Patricia Ashley Dalman Social Worker 1321 I Street Suite 3, Modesto, CA 95354 2010-09-13
1043533417 Dianne Michelle Hinton Nurse Practitioner 1724 G. Street, Modesto, CA 95354 2010-03-12
Find all providers in zip 95354

Competitor

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City MODESTO
Zip Code 95354

Improve Information

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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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