Individual provider Active NPI

Carlotta Clare Bowden

  • Family Nurse Practitioner
  • Clarksville, TN
National Provider Identifier
1164230264
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
37397 Issued in TN
Practice address
933 Tracy LN Ste D
Clarksville, TN 37040-6894
Phone
(615) 667-6799
NPI assigned
Dec 20, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 37397 TN Primary

Addresses

Primary practice location

933 Tracy LN Ste D
Clarksville, TN 37040-6894

Mailing address

708 Shamrock CT
Clarksville, TN 37043-3877

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20251120003124 TN Practitioner - Nurse Practitioner 1456889989 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Compass Family Health Clinic PLLCGroup PAC ID 7315372588, 2 clinicians

Practice addresses (Care Compare)

933 Tracy LN
Suite D
Clarksville, TN 37040-6894
Phone (615) 667-6799

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37397TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Family Health Clinic, PLLC CurrentSince Sep 7, 2025 Accepting new patients

Locations

933 Tracy Ln
Ste D
Clarksville, TN 37040
Phone (615) 667-6799

Interoperability endpoints

  • Direct secure messaging: carlotta.bowden.1@29674.direct.athenahealth.com

Organizations & group practices 1

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": "1734652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1164230264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 SHAMROCK CT",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370433877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 TRACY LN STE D",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370406894",
            "telephone_number": "615-667-6799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWDEN",
        "first_name": "CARLOTTA",
        "middle_name": "CLARE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-20",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "37397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

Verify at the official NPI Registry.