Individual provider Active NPI

Latona L Bowkamp, CNP

  • Acute Care Nurse Practitioner
  • Springfield, OH
National Provider Identifier
1295906295
Registry record updated May 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
NP 09936 Issued in OH
Practice address
100 Medical Center Dr
Springfield, OH 45504-2687
Phone
(937) 206-7676
NPI assigned
Mar 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X NP 09936 OH Primary

Addresses

Primary practice location

100 Medical Center Dr
Springfield, OH 45504-2687

Mailing address

100 Medical Center Dr
Springfield, OH 45504-2687
Phone (937) 206-7676

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20080512000242 OH Practitioner - Nurse Practitioner 7618056516 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dayton Pain Center LLCGroup PAC ID 8123922887, 10 clinicians

Practice addresses (Care Compare)

1 Elizabeth PL
Dayton, OH 45417-3445
Phone (937) 222-2233

Hospital & facility affiliations

  • Miami Valley Hospital Hospital, Dayton, OH, CCN 360051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Master of Arts

State licenses

LicenseStateTypeSpecialty
NP 09936OHMDAcute Care Nurse Practitioner
3001028KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gcga Physicians Inc. CurrentSince Oct 4, 2022 Accepting new patients
Dayton Pain Center LLC CurrentSince Jan 3, 2023 Accepting new patients
Springfield Emergency Physicians, Inc. Past Accepting new patients

Locations

2925 Vernon Pl
Ste 100
Cincinnati, OH 45219
Phone (513) 872-4555

1 Elizabeth Pl
Ste D
Dayton, OH 45417
Phone (937) 222-2233

331 6th Ave
Sidney, OH 45365
Phone (937) 222-2233

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368489600000",
    "number": "1295906295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MEDICAL CENTER DR",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455042687",
            "telephone_number": "937-206-7676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL CENTER DR",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455042687",
            "telephone_number": "937-206-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWKAMP",
        "first_name": "LATONA",
        "middle_name": "L",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-18",
        "last_updated": "2013-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "NP 09936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OH

Sources for this page

Verify at the official NPI Registry.