Individual provider Active NPI

Annlisbeth Poore-Bowman, NP

  • Nurse Practitioner
  • Rockingham, VA
National Provider Identifier
1285619643
Registry record updated Oct 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024107290 Issued in VA
Practice address
2006 Health Campus Dr Ste 300
Rockingham, VA 22801-8679
Phone
(540) 689-7400
Fax
(757) 963-9617
NPI assigned
Dec 8, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024107290 VA Primary

Addresses

Primary practice location

2006 Health Campus Dr Ste 300
Rockingham, VA 22801-8679

Mailing address

2006 Health Campus Dr Ste 300
Rockingham, VA 22801-8679
Phone (540) 689-7400

Other identifiers 1

IdentifierTypeStateIssuer
010197139MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050922000586 VA Practitioner - Nurse Practitioner 3173557816 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024107290VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
RMH Medical Group LLC CurrentSince Apr 1, 2017 Accepting new patients
RMH Medical Group LLC CurrentSince Apr 1, 2017 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

136 W Elizabeth St
Ste 201
Harrisonburg, VA 22802
Phone (540) 564-5104

1871 Evelyn Byrd Ave
Rockingham, VA 22801
Phone (540) 434-0559

2006 Health Campus Dr
Ste 200
Rockingham, VA 22801
Phone (540) 689-5555

2006 Health Campus Dr
Rockingham, VA 22801
Phone (540) 689-5800

2006 Health Campus Dr
Ste 300
Rockingham, VA 22801
Phone (540) 689-5400

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1285619643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 HEALTH CAMPUS DR STE 300",
            "city": "ROCKINGHAM",
            "state": "VA",
            "postal_code": "228018679",
            "telephone_number": "540-689-7400",
            "fax_number": "757-963-9617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 HEALTH CAMPUS DR STE 300",
            "city": "ROCKINGHAM",
            "state": "VA",
            "postal_code": "228018679",
            "telephone_number": "540-689-7400",
            "fax_number": "757-963-9617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POORE-BOWMAN",
        "first_name": "ANNLISBETH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-08",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024107290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010197139",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockingham, VA

Sources for this page

Verify at the official NPI Registry.