Wavilinia Brooke Bowen, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

0002092630 Issued in VA

Practice address

2100 Roanoke St Ste 12100
Christiansburg, VA 24073-2512

Phone

(866) 692-3020

NPI assigned

Jan 16, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1642291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642291200000",
    "number": "1245981729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 ROANOKE ST STE 12100",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240732512",
            "telephone_number": "866-692-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 ROANOKE ST STE 12100",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240732512",
            "telephone_number": "866-692-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "WAVILINIA",
        "middle_name": "BROOKE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-16",
        "last_updated": "2022-01-16",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "VA",
            "license": "0002092630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Christiansburg",
            "affiliation": "N",
            "address_1": "2100 Roanoke St Ste 12100",
            "city": "Christiansburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "240732512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Elizabeth Bond
• Coreen L Bookout, PTA
• Austin Joseph Bopp, DO
• Matthew Peter Borloz
• Steven Brian Boswell Jr., PT, DPT
• John Wilson Boyd Jr., PHARMACIST
• Zack Bracket, DMD
• Jennifer Ann Bradley, SLP
• Heather Renee Bragg, NP-C
• Therese Marie Brancewicz, SPEECH LANGUAGE PATH

• Licensed Practical Nurse in Christiansburg, VA
• Providers in Christiansburg, VA by specialty
• Licensed Practical Nurse in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2022; 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.