Active NPI
Tamara L Bowling, FNP-C
- Family Nurse Practitioner
- Wadsworth, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- COA.14688-NP
- Practice address
- 230 Quadral Dr
Ste B
Wadsworth, OH 44281-8376 - Phone
- (330) 336-2800
- NPI assigned
- Jul 1, 2013
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | COA.14688-NP | OH | Primary |
Addresses
Primary practice location
230 Quadral Dr
Ste B
Wadsworth, OH 44281-8376
Mailing address
6995 Fairhaven Oval Dr
Medina, OH 44256-6384
Phone (724) 494-6482
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0088065 | Medicaid | OH | |
| COA.14688-NP | Other | OH | LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, NC, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130820000257 | OH | Practitioner - Nurse Practitioner | 7113169244 | Reassigns benefits to 1 organization |
| I20241118000411 | NC | Practitioner - Nurse Practitioner | 7113169244 | Reassigns benefits to 1 organization |
| I20250714001501 | OR | Practitioner - Nurse Practitioner | 7113169244 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Boulder Care Provider Group PA
Practice addresses (Care Compare)
106 Langtree Village Dr
Suite 301
Mooresville, NC 28117-7594
Phone (888) 288-4715
111 SW Naito Pkwy
Suite 200
Portland, OR 97204-3512
Phone (503) 563-7370
20046 Walker Rd
Suite 7
Shaker Heights, OH 44122-3645
Phone (503) 208-5061
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA.14688-NP | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boulder Care Provider Group PA | Current | Accepting new patients | |
| Eleanor Health Professional Oh, LLC | Current | Accepting new patients | |
| Cornerstone Psychological & Counseling Services of Northeast Ohio | Past | Accepting new patients |
Locations
106 Langtree Village Dr
Ste 301
Mooresville, NC 28117
Phone (704) 457-1368
789 White Pond Dr
Ste C
Akron, OH 44320
Phone (330) 355-3153
20046 Walker Rd
Ste 7
Shaker Heights, OH 44122
Phone (503) 208-5061
25 N Canfield Niles Rd
Ste 30
Youngstown, OH 44515
Phone (330) 355-3153
111 SW Naito Pkwy
Ste 200
Portland, OR 97204
Phone (503) 208-5061
Organizations & group practices 3
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.
-
- Addiction Medicine (Family Medicine) Physician
- Portland, OR
- NPI 1649838590
NC, OH, OR
-
- Addiction Medicine (Psychiatry & Neurology) Physician
- Akron, OH
- NPI 1730782475
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Medina, OH
- NPI 1144612300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1134569478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6995 FAIRHAVEN OVAL DR",
"city": "MEDINA",
"state": "OH",
"postal_code": "442566384",
"telephone_number": "724-494-6482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 QUADRAL DR",
"address_2": "STE B",
"city": "WADSWORTH",
"state": "OH",
"postal_code": "442818376",
"telephone_number": "330-336-2800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWLING",
"first_name": "TAMARA",
"middle_name": "L",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-01",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "COA.14688-NP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0088065",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "COA.14688-NP",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wadsworth, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.