Individual provider Active NPI

Shawn P Bowman, CNP

  • Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1093563827
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
78907 Issued in NM
Practice address
12844 Lomas Blvd NE Apt D6
Albuquerque, NM 87112-6174
Phone
(505) 385-8804
NPI assigned
May 7, 2024
Last updated
May 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 78907 NM Primary

Addresses

Primary practice location

12844 Lomas Blvd NE Apt D6
Albuquerque, NM 87112-6174

Mailing address

12844 Lomas Blvd NE Apt D6
Albuquerque, NM 87112-6174
Phone (505) 385-8804

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20240920000097 NM Practitioner - Nurse Practitioner 9638610447 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
78907NMMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Curana Health of New Mexico LLC Nurse Practitioner CurrentSince Sep 11, 2024 Accepting new patients

Locations

1509 Dulles Dr
Lafayette, LA 70506
Phone (337) 408-0803

5750 Johnston St
Ste 205
Lafayette, LA 70503
Phone (337) 580-3330

1525 N Renaissance Blvd NE
Albuquerque, NM 87107
Phone (505) 243-3387

6001 Menaul Blvd NE
#1086
Albuquerque, NM 87110

206 S Coronado Ave
Espanola, NM 87532
Phone (616) 438-0737

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1093563827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12844 LOMAS BLVD NE APT D6",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871126174",
            "telephone_number": "505-385-8804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12844 LOMAS BLVD NE APT D6",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871126174",
            "telephone_number": "505-385-8804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "SHAWN",
        "middle_name": "P",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "78907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.