Provider Demographics
NPI:1477151637
Name:BOWERS, SHARON J (RD)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:J
Last Name:BOWERS
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:J
Other - Last Name:HOSKINS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RD
Mailing Address - Street 1:408 N CEDAR BLUFF RD STE 550
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37923-3607
Mailing Address - Country:US
Mailing Address - Phone:805-870-5588
Mailing Address - Fax:805-512-8522
Practice Address - Street 1:602 COMMERCE AVE STE E
Practice Address - Street 2:
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93551-3882
Practice Address - Country:US
Practice Address - Phone:661-237-3356
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-10
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133VN1005XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Renal
No133VN1201XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Obesity and Weight Management
No133VN1301XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Oncology
No133VN1004XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Pediatric