Individual provider Active NPI

Kimberley Jean Bowie, LPN

  • Licensed Practical Nurse
  • Houston, TX
National Provider Identifier
1174759369
Registry record updated May 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN 133093 Issued in OH
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

Updated by the provider on May 27, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PN 133093OHMDLicensed Practical Nurse
225873TXMDHealth 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.

Verify at the official NPI Registry.