Kathleen Judge Bowie, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024179603 Issued in VA

Practice address

8200 Jones Branch Dr RM 1317
MC Lean, VA 22102-3107

Phone

(703) 903-2844

NPI assigned

Jun 30, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kathleen.bowie.1@29379.direct.athenahealth.com

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.

• Loudoun Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Leesburg, VA
  • NPI 1629109806
  Medicare reassignment NPD
• Loudoun Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Sterling, VA
  • NPI 1144736901
  NPD

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1033736525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2142 GLENCOURSE LN",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201911315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 JONES BRANCH DR RM 1317",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221023107",
            "telephone_number": "703-903-2844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1650 Parkcrest Cir Apt 300",
            "address_purpose": "LOCATION",
            "city": "Reston",
            "state": "VA",
            "postal_code": "201904941",
            "country_code": "US",
            "telephone_number": "540-686-5223",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11484 Washington Plz W Ste 300",
            "address_purpose": "LOCATION",
            "city": "Reston",
            "state": "VA",
            "postal_code": "201904342",
            "country_code": "US",
            "telephone_number": "703-443-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13031 Lee Jackson Memorial Hwy",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220332050",
            "country_code": "US",
            "telephone_number": "703-378-7550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWIE",
        "first_name": "KATHLEEN",
        "middle_name": "JUDGE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-30",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024179603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in MC Lean, VA
• Providers in MC Lean, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; 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.