Individual provider Active NPI

Victoria Bowers, NP-C

  • Primary Care Nurse Practitioner
  • Glendale, AZ
National Provider Identifier
1023567435
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
AP4019 Issued in AZ
Practice address
6808 N Dysart Rd Ste 136
Glendale, AZ 85307-2232
Phone
(623) 215-2525
Fax
(623) 215-4555
NPI assigned
Sep 26, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X AP4019 AZ Primary

Addresses

Primary practice location

6808 N Dysart Rd Ste 136
Glendale, AZ 85307-2232

Mailing address

6808 N Dysart Rd Ste 136
Glendale, AZ 85307-2232
Phone (623) 215-2525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161121001479 AZ Practitioner - Nurse Practitioner 4688953359 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AP4019AZMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Whispering Palms Medical Inc CurrentSince Oct 10, 2016 Accepting new patients
Glendale Sports Massage LLC Past Accepting new patients

Locations

3552 W Baseline Rd
Ste 140
Laveen, AZ 85339
Phone (602) 635-6941

8618 N 35th Ave
Ste 3
Phoenix, AZ 85051
Phone (602) 249-0999

301 W McDowell Rd
Phoenix, AZ 85003
Phone (602) 257-8070

1108 W Indian School Rd
Ste B
Phoenix, AZ 85013
Phone (602) 773-5600

14827 W Bell Rd
Ste 103
Surprise, AZ 85374
Phone (623) 544-3522

16928 W Bell Rd
Ste 701
Surprise, AZ 85374
Phone (623) 214-1106

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": "1474848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1023567435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6808 N DYSART RD STE 136",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853072232",
            "telephone_number": "623-215-2525",
            "fax_number": "623-215-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6808 N DYSART RD STE 136",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853072232",
            "telephone_number": "623-215-2525",
            "fax_number": "623-215-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWERS",
        "first_name": "VICTORIA",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-26",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AZ",
            "license": "AP4019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.