Organization Active NPI

Kim Bowen MSN Aprn BC Anp PLLC

  • Nurse Practitioner
  • Rockwall, TX
National Provider Identifier
1255414306
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
KIM BOWEN MSN APRN BC ANP PLLC
Practice address
206 Storrs St
Rockwall, TX 75087-4006
Phone
(972) 772-5000
NPI assigned
Oct 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Authorized official

Name
Kim Bowen, ANP
Title
Owner
Phone
(972) 772-4321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

206 Storrs St
Rockwall, TX 75087-4006

Mailing address

1737 Lake Breeze Dr
Rockwall, TX 75087-3264
Phone (972) 772-4321

Other identifiers 1

IdentifierTypeStateIssuer
NP7208OtherTXBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1255414306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1737 LAKE BREEZE DR",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750873264",
            "telephone_number": "972-772-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 STORRS ST",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750874006",
            "telephone_number": "972-772-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM BOWEN MSN APRN BC ANP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-772-4321",
        "authorized_official_credential": "ANP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "NP7208",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.