Individual provider Active NPI

Susan Mary Bowlin, FNP-BC, ACNP-BC

  • Family Nurse Practitioner
  • Flower Mound, TX
National Provider Identifier
1144225178
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP113519 Issued in TX
Practice address
2201 Spinks Rd Ste 230
Flower Mound, TX 75022-4451
Phone
(972) 430-5252
Fax
(972) 573-0103
NPI assigned
Jun 16, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP113519 TX Primary
Acute Care Nurse Practitioner 363LA2100X AP113519 TX

Addresses

Primary practice location

2201 Spinks Rd Ste 230
Flower Mound, TX 75022-4451

Mailing address

2416 Belvedere LN
Flower Mound, TX 75028-5699
Phone (972) 849-2190

Other names 1

  • Susan Mary Parsons Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20090810000402 TX Practitioner - Nurse Practitioner 7315091303 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP113519TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network Current Accepting new patients
Healthtexas Provider Network CurrentSince Jan 22, 2024 Accepting new patients
Healthtexas Provider Network CurrentSince Jan 22, 2024 Accepting new patients
Priority One Weght Loss, PLLC Family CurrentSince Oct 20, 2024 Accepting new patients
Cardiovascular Specialists PA Past Accepting new patients

Locations

5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920

301 N Washington Ave
Dallas, TX 75246
Phone (469) 800-8330

2201 Spinks Rd
Ste 230
Flower Mound, TX 75022
Phone (972) 430-5252

1600 W College St
Ste 190
Grapevine, TX 76051
Phone (817) 305-2061

2005 W Park Dr
Ste 300
Irving, TX 75061
Phone (469) 800-1050

2021 N MacArthur Blvd
Ste 520
Irving, TX 75061
Phone (469) 351-3432

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1144225178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2416 BELVEDERE LN",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750285699",
            "telephone_number": "972-849-2190",
            "fax_number": "817-305-5069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 SPINKS RD STE 230",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750224451",
            "telephone_number": "972-430-5252",
            "fax_number": "972-573-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWLIN",
        "first_name": "SUSAN",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC, ACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-16",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP113519",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP113519",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "PARSONS",
            "middle_name": "MARY",
            "credential": "FNP-BC, ACNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Flower Mound, TX

Sources for this page

Verify at the official NPI Registry.