Individual provider Active NPI

Kimberly Renee Carter-Bowman, APN

  • Adult Health Nurse Practitioner
  • Woodstown, NJ
National Provider Identifier
1154956001
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ01024800 Issued in NJ
Practice address
1 Mill St
Woodstown, NJ 08098-1025
Phone
(856) 636-8850
NPI assigned
Mar 10, 2020
Last updated
Jan 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ01024800 NJ
Acute Care Nurse Practitioner 363LA2100X 26NJ01024800 NJ
Adult Health Nurse Practitioner 363LA2200X 26NJ01024800 NJ Primary
Gerontology Nurse Practitioner 363LG0600X 26NJ01024800 NJ

Addresses

Primary practice location

1 Mill St
Woodstown, NJ 08098-1025

Mailing address

60 Lisa Marie Ter
Millville, NJ 08332-4157
Phone (856) 305-1600

Other practice location 1

4 Bypass Rd Ste 104
Salem, NJ 08079-2053
Phone (856) 935-0804

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Millville Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20200618001466 NJ Practitioner - Nurse Practitioner 9133541238 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Salem Medical Professionals PC Multi-Specialty CurrentSince May 4, 2020 Accepting new patients
Careconnectmd New Jersey PC Multi-Specialty CurrentSince Jan 1, 2025 Accepting new patients
Carter Global Healthcare LLC Multi-Specialty Current Accepting new patients
Complete Care of South Jersey Multi-Specialty CurrentSince Oct 1, 2024 Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

321 E Broad St
Gibbstown, NJ 08027
Phone (856) 423-2790

499 Beckett Rd
Ste 101
Logan Twp, NJ 08085
Phone (845) 241-0113

101 Eisenhower Pkwy
Ste 300
Roseland, NJ 07068
Phone (201) 520-7221

310 Salem Woodstown Rd
Salem, NJ 08079
Phone (856) 339-6054

4 Bypass Rd
Ste 104
Salem, NJ 08079
Phone (856) 887-3005

95 Woodstown Rd
Ste B
Swedesboro, NJ 08085
Phone (856) 358-1500

1 Mill St
Woodstown, NJ 08098
Phone (856) 241-0276

Organizations & group practices 4

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": "1583798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1154956001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 LISA MARIE TER",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "083324157",
            "telephone_number": "856-305-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MILL ST",
            "city": "WOODSTOWN",
            "state": "NJ",
            "postal_code": "080981025",
            "telephone_number": "856-636-8850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Bypass Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "NJ",
            "postal_code": "080792053",
            "country_code": "US",
            "telephone_number": "856-935-0804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER-BOWMAN",
        "first_name": "KIMBERLY",
        "middle_name": "RENEE",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-10",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ01024800",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NJ",
            "license": "26NJ01024800",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ01024800",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ01024800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Millville",
            "affiliation": "N",
            "endpointDescription": "Simplyredeemedinc@gmail.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "60 Lisa Marie Ter",
            "city": "Millville",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "083324157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Woodstown, NJ

Sources for this page

Verify at the official NPI Registry.