Individual provider Active NPI

Brittni Bowman, NP

  • Family Nurse Practitioner
  • Grayson, KY
National Provider Identifier
1215632559
Registry record updated Aug 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4005316 Issued in KY
Practice address
207 N Carol Malone Blvd Ste 3
Grayson, KY 41143-1566
Phone
(606) 225-8200
NPI assigned
Apr 4, 2023
Last updated
Aug 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 115910 WV
Family Nurse Practitioner 363LF0000X APRN.CNP.0033570 OH
Family Nurse Practitioner 363LF0000X 4005316 KY Primary

Addresses

Primary practice location

207 N Carol Malone Blvd Ste 3
Grayson, KY 41143-1566

Mailing address

10273 State Route 775
Scottown, OH 45678-9072

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0033570OHMDFamily Nurse Practitioner
115910WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fresh Start Health PSC CurrentSince Aug 6, 2023 Accepting new patients

Locations

336 29th St
Ste 203
Ashland, KY 41101
Phone (606) 225-8200

207 N Carol Malone Blvd
Ste 3
Grayson, KY 41143
Phone (606) 225-8200

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": "1680566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788048000000",
    "number": "1215632559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10273 STATE ROUTE 775",
            "city": "SCOTTOWN",
            "state": "OH",
            "postal_code": "456789072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 N CAROL MALONE BLVD STE 3",
            "city": "GRAYSON",
            "state": "KY",
            "postal_code": "411431566",
            "telephone_number": "606-225-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "BRITTNI",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-04",
        "last_updated": "2026-08-30",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "115910",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0033570",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4005316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grayson, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2026; 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.