Organization Active NPI

Cindy Bowling RN Pmhnp PC Inc

Doing business as Cindy Bowling, PMHNP

  • Clinic/Center
  • Keizer, OR
National Provider Identifier
1285985119
Registry record updated Oct 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
200950043-NP Issued in OR
Legal business name
CINDY BOWLING RN PMHNP PC INC
Doing business as
Cindy Bowling, PMHNP
Practice address
3795 River Rd N
Ste B
Keizer, OR 97303-4826
Phone
(503) 390-0082
Fax
(503) 390-0172
NPI assigned
Oct 2, 2012
Last updated
Oct 6, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2016

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

Authorized official

Name
Ms. Cindy Ann Bowling, PMHNPNPI 1528292752
Title
President
Phone
(503) 390-0082

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
Clinic/Center 261Q00000X 200950043-NP OR Primary

Addresses

Primary practice location

3795 River Rd N
Ste B
Keizer, OR 97303-4826

Mailing address

3795 River Rd N
Ste B
Keizer, OR 97303-4826
Phone (503) 390-0082

Other names 1

  • Cindy Bowling, PMHNP Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130102000438 OR Part B Supplier - Clinic/Group Practice 4486807260 Receives reassigned benefits from 1 practitioner
Practice locations: Keizer, OR

National Provider Directory

National Provider Directory

Locations

3795 River Rd N
Ste B
Keizer, OR 97303
Phone (503) 390-0082

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": "1349136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475712000000",
    "number": "1285985119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3795 RIVER RD N",
            "address_2": "STE B",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973034826",
            "telephone_number": "503-390-0082",
            "fax_number": "503-390-0172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3795 RIVER RD N",
            "address_2": "STE B",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973034826",
            "telephone_number": "503-390-0082",
            "fax_number": "503-390-0172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CINDY BOWLING RN PMHNP PC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-02",
        "last_updated": "2016-10-06",
        "status": "A",
        "authorized_official_last_name": "BOWLING",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-390-0082",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OR",
            "license": "200950043-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cindy Bowling, PMHNP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Keizer, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; 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.