Dean Leroy Bowen, PMHNP-BC (APRA)

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

24511 Issued in TN

Practice address

420 W. Bell Ave.
Chattanooga, TN 37405-3404

Phone

(423) 634-8884

Fax

(423) 654-0813

NPI assigned

Jul 25, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/vbhcs/r4/

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.

• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  Single Specialty, TN

  Medicare reassignment NPD
• Volunteer Behavioral Health Care System

  • Counselor
  • Murfreesboro, TN
  • NPI 1043267107

  Single Specialty

  NPD
• Volunteer Behavioral Health Care System

  • Point of Service
  • Chattanooga, TN
  • NPI 1194974303
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1184101743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 W. BELL AVE.",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374053404",
            "telephone_number": "423-634-8884",
            "fax_number": "423-654-0813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W. BELL AVE.",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374053404",
            "telephone_number": "423-634-8884",
            "fax_number": "423-654-0813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "DEAN",
        "middle_name": "LEROY",
        "name_prefix": "Mr.",
        "credential": "PMHNP-BC (APRA)",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-25",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "24511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Killman Josue Boutet, RN
• Mary Teresa Bouthner, CCMA
• Wendy Kilpatrick Bovell, LCSW
• Claude James Bowden
• Alexander Morris Bowen
• Jennifer Bowen, RN
• Jennifer Grosso Bower, CRNA
• Victoria Anne Bower, CNNP
• David Neil Bowers, M.D.
• Elizabeth Maria Bowers, DO

• Psychiatric/Mental Health Nurse Practitioner in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.