Individual provider Active NPI

Spenser Elizabeth Bowers, CPNP-PC

  • Pediatric Nurse Practitioner
  • Westwood, MA
National Provider Identifier
1114635901
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
RN2293920 Issued in MA
Practice address
541 High St
Westwood, MA 02090-1628
Phone
(781) 326-7700
NPI assigned
Nov 9, 2022
Last updated
Jan 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0200X RN2293920 MA Primary

Addresses

Primary practice location

541 High St
Westwood, MA 02090-1628

Mailing address

156 Porter St Apt 152
East Boston, MA 02128-2125

Other practice location 1

115 Main St
North Easton, MA 02356-1468
Phone (508) 535-5535

Other practice location 2

454 Chauncy St
Mansfield, MA 02048-1110
Phone (508) 339-9944

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)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN2293920MAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Pediatrics, Inc. Single Specialty Past Accepting new patients
Westwood-Mansfield Pediatric Associates, PC Past 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, 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": "1667952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1114635901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 PORTER ST APT 152",
            "city": "EAST BOSTON",
            "state": "MA",
            "postal_code": "021282125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 HIGH ST",
            "city": "WESTWOOD",
            "state": "MA",
            "postal_code": "020901628",
            "telephone_number": "781-326-7700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Main St",
            "address_purpose": "LOCATION",
            "city": "North Easton",
            "state": "MA",
            "postal_code": "023561468",
            "country_code": "US",
            "telephone_number": "508-535-5535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "454 Chauncy St",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "MA",
            "postal_code": "020481110",
            "country_code": "US",
            "telephone_number": "508-339-9944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWERS",
        "first_name": "SPENSER",
        "middle_name": "ELIZABETH",
        "credential": "CPNP-PC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-09",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MA",
            "license": "RN2293920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westwood, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.