Active NPI
Leah Annette Bowen, ARNP-BC
- Family Nurse Practitioner
- Cape Coral, FL
National Provider Identifier
1174621429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP1840312
- Practice address
- 30 Del Prado Blvd N Ste 100
Cape Coral, FL 33909-2734 - Phone
- (239) 829-0099
- Fax
- (239) 673-9694
- NPI assigned
- Sep 20, 2006
- 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 | ARNP1840312 | FL | Primary |
Addresses
Primary practice location
30 Del Prado Blvd N Ste 100
Cape Coral, FL 33909-2734
Mailing address
30 Del Prado Blvd N
Cape Coral, FL 33909-2705
Phone (239) 829-0099
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP1840312 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gary Wright Mdpa | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
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": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517616000000",
"number": "1174621429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 DEL PRADO BLVD N",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339092705",
"telephone_number": "239-829-0099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 DEL PRADO BLVD N STE 100",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339092734",
"telephone_number": "239-829-0099",
"fax_number": "239-673-9694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWEN",
"first_name": "LEAH",
"middle_name": "ANNETTE",
"credential": "ARNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2018-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP1840312",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.