Active NPI
Kimberley Sue Bowen
- Home Health Aide
- Grand Island, NE
National Provider Identifier
1154256014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 29074
- Practice address
- 2904 Bock Ave
Grand Island, NE 68803-6101 - Phone
- (308) 391-1146
- NPI assigned
- Jun 15, 2026
- 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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 29074 | NE | Primary |
Addresses
Primary practice location
2904 Bock Ave
Grand Island, NE 68803-6101
Mailing address
2904 Bock Ave
Grand Island, NE 68803-6101
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781481600000",
"number": "1154256014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2904 BOCK AVE",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688036101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2904 BOCK AVE",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688036101",
"telephone_number": "308-391-1146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWEN",
"first_name": "KIMBERLEY",
"middle_name": "SUE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-06-15",
"last_updated": "2026-06-15",
"certification_date": "2026-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "NE",
"license": "29074",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Island, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.