Individual provider Active NPI

Nancy M Bowen-Hicks, M.S. CCC-A

  • Audiologist
  • Hillsboro, OR
National Provider Identifier
1013946466
Registry record updated Mar 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
20544 Issued in WA
Practice address
333 SE 7TH Ave
Suite 4150
Hillsboro, OR 97123-4157
Phone
(503) 352-2661
Fax
(503) 924-6704
NPI assigned
Jun 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 20544 WA Primary

Addresses

Primary practice location

333 SE 7TH Ave
Suite 4150
Hillsboro, OR 97123-4157

Mailing address

333 SE 7TH Ave
Suite 4150
Hillsboro, OR 97123-4157
Phone (503) 352-2661

Other identifiers 1

IdentifierTypeStateIssuer
028096MedicaidOR

Other names 1

  • Nancy M Bowen Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
20544WAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology Clinic, Inc. Past Accepting new patients
Pacific University PastSince Nov 28, 2021 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395014400000",
    "number": "1013946466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 SE 7TH AVE",
            "address_2": "SUITE 4150",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234157",
            "telephone_number": "503-352-2661",
            "fax_number": "503-924-6704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 SE 7TH AVE",
            "address_2": "SUITE 4150",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234157",
            "telephone_number": "503-352-2661",
            "fax_number": "503-924-6704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN-HICKS",
        "first_name": "NANCY",
        "middle_name": "M",
        "credential": "M.S. CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2014-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WA",
            "license": "20544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "028096",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "BOWEN",
            "middle_name": "M",
            "credential": "M.S. CCC-A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.