Organization Active NPI

Bowsers Garden LLC

Doing business as Health Care Partners

  • Adult Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1205476868
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
BOWSERS GARDEN LLC
Doing business as
Health Care Partners
Practice address
2400 W Dunlap Ave Ste 125
Phoenix, AZ 85021-2885
Phone
(480) 803-7016
Fax
(623) 738-4025
NPI assigned
Jan 13, 2020
Last updated
Sep 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Authorized official

Name
Luanne Takacs Kelly, DNP, ANP-BC, MBANPI 1073849360
Title
Ceo, DNP
Phone
(480) 803-7016

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X NU Primary

Addresses

Primary practice location

2400 W Dunlap Ave Ste 125
Phoenix, AZ 85021-2885

Mailing address

2400 W Dunlap Ave Ste 125
Phoenix, AZ 85021-2885
Phone (480) 803-7016

Other identifiers 3

IdentifierTypeStateIssuer
048119OtherANCC
616876MedicaidAZ
1073849360OtherAZINDIVIDUAL NP

Other names 3

  • Health Care Partners Doing business as
  • Bowser's Garden LLC Former legal business name
  • Bowsers Garden LLC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200603000182 AZ Part B Supplier - Clinic/Group Practice 8820419690 Receives reassigned benefits from 1 practitioner
Practice locations: Phoenix, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2199483Bowser's Garden LLC Dba Healthcare Partners2400 W Dunlap Ave Ste 125, Phoenix, AZ 85021Certificate of waiverNov 8, 2026

National Provider Directory

National Provider Directory

Locations

2400 W Dunlap Ave
Ste 125
Phoenix, AZ 85021
Phone (480) 803-7016

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1578873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758499200000",
    "number": "1205476868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 W DUNLAP AVE STE 125",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850212885",
            "telephone_number": "480-803-7016",
            "fax_number": "623-738-4025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 W DUNLAP AVE STE 125",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850212885",
            "telephone_number": "480-803-7016",
            "fax_number": "623-738-4025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOWSERS GARDEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-13",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "LUANNE",
        "authorized_official_middle_name": "TAKACS",
        "authorized_official_title_or_position": "CEO, DNP",
        "authorized_official_telephone_number": "480-803-7016",
        "authorized_official_credential": "DNP, ANP-BC, MBA"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANCC",
            "identifier": "048119",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "616876",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NP",
            "identifier": "1073849360",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Care Partners",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Health Care Partners",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bowser's Garden LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Bowsers Garden LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.