Active NPI
Crystal Looper Bowman, PA-C
- Physician Assistant
- Nashville, TN
National Provider Identifier
1104144997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA0000001831
- Practice address
- 1818 Albion St
Nashville, TN 37208-2918 - Phone
- (615) 327-6336
- Fax
- (615) 327-6214
- NPI assigned
- May 4, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA0000001831 | TN | Primary |
Addresses
Primary practice location
1818 Albion St
Nashville, TN 37208-2918
Mailing address
1738 Greasy Branch Rd
Columbia, TN 38401-8200
Phone (931) 652-2102
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA0000001831 | TN | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272931200000",
"number": "1104144997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1738 GREASY BRANCH RD",
"city": "COLUMBIA",
"state": "TN",
"postal_code": "384018200",
"telephone_number": "931-652-2102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1818 ALBION ST",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372082918",
"telephone_number": "615-327-6336",
"fax_number": "615-327-6214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWMAN",
"first_name": "CRYSTAL",
"middle_name": "LOOPER",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-04",
"last_updated": "2010-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TN",
"license": "PA0000001831",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.