Organization Active NPI

Gayle M. Bowen Aprn,BC,PLLC

  • Prescribing (Medical) Psychologist
  • Manchester, NH
National Provider Identifier
1235472317
Registry record updated Apr 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prescribing (Medical) PsychologistTaxonomy code 103TP0016X
License
015728-23 Issued in NH
Legal business name
GAYLE M. BOWEN APRN,BC,PLLC
Practice address
1361 Elm St
Suite 407B
Manchester, NH 03101-1324
Phone
(603) 622-5951
Fax
(603) 622-6028
NPI assigned
Mar 27, 2013
Last updated
Apr 15, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2013

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

Authorized official

Name
Ms. Gayle M. Bowen, M.S.,A.P.R.N.,B.C.NPI 1063520047
Title
Psychiatric Nurse Practitioner
Phone
(603) 622-5951

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
Prescribing (Medical) PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TP0016X 015728-23 NH Primary

Addresses

Primary practice location

1361 Elm St
Suite 407B
Manchester, NH 03101-1324

Mailing address

1361 Elm St
Suite 407B
Manchester, NH 03101-1324
Phone (603) 622-5951

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131114001079 NH Part B Supplier - Clinic/Group Practice 9739315011 Receives reassigned benefits from 1 practitioner
Practice locations: Manchester, NH

National Provider Directory

National Provider Directory

Locations

103 Bay St
Ste 1L
Manchester, NH 03104
Phone (603) 622-5951

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": "1364342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365984000000",
    "number": "1235472317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1361 ELM ST",
            "address_2": "SUITE 407B",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031011324",
            "telephone_number": "603-622-5951",
            "fax_number": "603-622-6028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1361 ELM ST",
            "address_2": "SUITE 407B",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031011324",
            "telephone_number": "603-622-5951",
            "fax_number": "603-622-6028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAYLE M. BOWEN APRN,BC,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-27",
        "last_updated": "2013-04-15",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "GAYLE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "603-622-5951",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S.,A.P.R.N.,B.C."
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "NH",
            "license": "015728-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.