Individual provider Active NPI

Dolores S Bowman, DNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Cookeville, TN
National Provider Identifier
1194564534
Registry record updated May 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
36352 Issued in TN
Practice address
1200 S Willow Ave
Cookeville, TN 38506-4157
Phone
(931) 432-4123
NPI assigned
May 24, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 36352 TN Primary

Addresses

Primary practice location

1200 S Willow Ave
Cookeville, TN 38506-4157

Mailing address

309 Horseshoe Bend LN
Elmwood, TN 38560-4131
Phone (615) 839-8672

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
I20240816000577 TN Practitioner - Nurse Practitioner 5597203984 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Volunteer Behavioral Health Care SystemGroup PAC ID 3678485802, 44 clinicians

Practice addresses (Care Compare)

1200 S Willow Ave
Cookeville, TN 38506-4157
Phone (931) 432-4123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Volunteer Behavioral Health Care System CurrentSince May 23, 2024 Accepting new patients

Locations

1805 Ingleside Ave
Athens, TN 37303
Phone (423) 745-3367

413 Spring St
Chattanooga, TN 37405
Phone (423) 756-2740

940 S Ocoee St
Cleveland, TN 37311
Phone (423) 479-5454

2700 Executive Park NW
Cleveland, TN 37312
Phone (423) 479-9581

1200 S Willow Ave
Cookeville, TN 38506
Phone (931) 432-0890

4325 Highway 127 N
Crossville, TN 38571
Phone (931) 484-8020

7200 Rhea County Hwy
Dayton, TN 37321
Phone (423) 570-0077

121 Fredonia Rd
Dunlap, TN 37327
Phone (423) 949-8464

133 Indian Lake Rd
Hendersonvlle, TN 37075
Phone (615) 824-5801

101 Bratton Ave
Lafayette, TN 37083
Phone (615) 666-8070

1404 Winter Dr
Lebanon, TN 37087
Phone (615) 444-4300

501 Spruce St
Livingston, TN 38570
Phone (931) 823-5678

520 Cook St
Ste I
Madisonville, TN 37354
Phone (865) 374-7100

120 Omni Dr
McMinnville, TN 37110
Phone (931) 473-1066

1504 Williams Dr
Murfreesboro, TN 37129
Phone (615) 278-2241

450 S Chamberlain Ave
Rockwood, TN 37854
Phone (865) 354-2612

131 Mayfield Dr
Smyrna, TN 37167
Phone (615) 278-2241

14399 US 41
Ste 120
Tracy City, TN 37387
Phone (931) 473-9649

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/vbhcs/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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1716508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716595200000",
    "number": "1194564534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 HORSESHOE BEND LN",
            "city": "ELMWOOD",
            "state": "TN",
            "postal_code": "385604131",
            "telephone_number": "615-839-8672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S WILLOW AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385064157",
            "telephone_number": "931-432-4123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "DOLORES",
        "middle_name": "S",
        "credential": "DNP, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-24",
        "last_updated": "2024-05-25",
        "certification_date": "2024-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "36352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

Verify at the official NPI Registry.