Active NPI
Loretta Kay Bowens, RN
- Infusion Therapy Registered Nurse
- Modesto, CA
National Provider Identifier
1285215988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infusion Therapy Registered Nurse
- License
- 462010
- Practice address
- 1701 Pantaleo Dr
Modesto, CA 95355-9362 - Phone
- (209) 326-5996
- NPI assigned
- Apr 15, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infusion Therapy Registered Nurse | 163WI0500X | 462010 | CA | Primary |
Addresses
Primary practice location
1701 Pantaleo Dr
Modesto, CA 95355-9362
Mailing address
1701 Pantaleo Dr
Modesto, CA 95355-9362
Phone (209) 326-5996
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 462010 | CA | MD | Infusion Therapy Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618444800000",
"number": "1285215988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 PANTALEO DR",
"city": "MODESTO",
"state": "CA",
"postal_code": "953559362",
"telephone_number": "209-326-5996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 PANTALEO DR",
"city": "MODESTO",
"state": "CA",
"postal_code": "953559362",
"telephone_number": "209-326-5996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWENS",
"first_name": "LORETTA",
"middle_name": "KAY",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-15",
"last_updated": "2021-04-15",
"certification_date": "2021-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "163WI0500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Infusion Therapy",
"state": "CA",
"license": "462010",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.