Active NPI
Kimberley Jean Bowie, LPN
- Licensed Practical Nurse
- Houston, TX
National Provider Identifier
1174759369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN 133093
- Practice address
- 12730 Whittington Dr
604
Houston, TX 77077-4745 - Phone
- (281) 271-8514
- Fax
- (346) 207-8514
- NPI assigned
- Jun 2, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN 133093 | OH | Primary |
| Licensed Practical Nurse | 164W00000X | 225873 | TX | |
| Health Educator | 174H00000X | 225873 | TX |
Addresses
Primary practice location
12730 Whittington Dr
604
Houston, TX 77077-4745
Mailing address
12730 Whittington Dr
604
Houston, TX 77077-4745
Phone (281) 271-8514
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN 133093 | OH | MD | Licensed Practical Nurse |
| 225873 | TX | MD | Health Educator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432684800000",
"number": "1174759369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12730 WHITTINGTON DR",
"address_2": "604",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770774745",
"telephone_number": "281-271-8514",
"fax_number": "346-207-8514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12730 WHITTINGTON DR",
"address_2": "604",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770774745",
"telephone_number": "281-271-8514",
"fax_number": "346-207-8514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWIE",
"first_name": "KIMBERLEY",
"middle_name": "JEAN",
"name_prefix": "Miss",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-02",
"last_updated": "2015-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "PN 133093",
"primary": true
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "TX",
"license": "225873",
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "TX",
"license": "225873",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.