Kristen Caroline Bowen

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1151512 Issued in TX

Practice address

6033 Broadway Blvd Suite C
Garland, TX 75043

Phone

(972) 626-1234

Fax

(972) 686-9000

NPI assigned

Apr 25, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Revive Med Partners, LLCGroup PAC ID 7618419920, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Revive Med Partners, LLC

  • Internal Medicine Physician
  • Highland Village, TX
  • NPI 1669237798

  Family

  Medicare reassignment Care Compare group NPD
• Revive Med Partners I LLC

  • Family Medicine Physician
  • Highland Village, TX
  • NPI 1881400323
  Medicare reassignment NPD
• Revive PCMS McKinney LLC

  • Hospitalist Physician
  • McKinney, TX
  • NPI 1316826324
  Medicare reassignment NPD

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

{
    "created_epoch": "1619308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1316529704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LOMA LINDA UNIVERSITY 11262 CAMPUS STREET- WEST HALL",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923500001",
            "telephone_number": "909-558-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6033 BROADWAY BLVD SUITE C",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "75043",
            "telephone_number": "972-626-1234",
            "fax_number": "972-686-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Loma Linda University 11262 Campus Street- West Hall",
            "address_purpose": "LOCATION",
            "city": "Loma Linda",
            "state": "CA",
            "postal_code": "923500001",
            "country_code": "US",
            "telephone_number": "909-558-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "KRISTEN",
        "middle_name": "CAROLINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-25",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1151512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Briana Botkins
• Erin Floyd Botto, COTA
• Sarah E Botts, SLP-CFY
• Barbara Phyllis Boudreau, RN
• Carla Celeste Bowden, OT
• Andrew Steven Bowers
• Ty Jason Bowring, DPT
• Eugenia Bozor
• BQC Home Health Agency, Inc.
• Bracken Mental Health a Professional Association.

• Family Nurse Practitioner in Garland, TX
• Providers in Garland, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.