Katelyn Marie Bowman, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1020093 Issued in TX

Practice address

3107 Greene Ave
Fort Worth, TX 76109-2319

Phone

(817) 439-9539

NPI assigned

Nov 30, 2020

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 30, 2020.

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1013511005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3107 GREENE AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761092319",
            "telephone_number": "817-439-9539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3107 GREENE AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761092319",
            "telephone_number": "817-439-9539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "KATELYN",
        "middle_name": "MARIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-30",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1020093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph J Bowes III, CRNA
• Patricia Leanne Bowes
• Dena Bowling, M.S. CCC-SLP
• John R Bowling III, DO
• Kadye Bowman, LCSW
• Margaret Ann Bowman, LMSW
• Mitchell Dee Bowman, MD
• Rodney R. Bowman, M.D.
• Stephen Noah Bowman
• Theron Laneal Bowman II, DO

• All providers in Fort Worth, TX
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.