Tishan D Bowen-Gordon, DNP

Primary specialty

Neonatal Nurse PractitionerTaxonomy code 363LN0000X

License

1115805 Issued in TX

Practice address

1201 W 38TH St FL 8
Austin, TX 78705-1006

Phone

(512) 324-1085

NPI assigned

Oct 11, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1633910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1326700048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3108 E 51ST ST UNIT 202",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787234695",
            "telephone_number": "770-789-3574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 W 38TH ST FL 8",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051006",
            "telephone_number": "512-324-1085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN-GORDON",
        "first_name": "TISHAN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-11",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "TX",
            "license": "1115805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Anne Bovet
• Sarah Fulton Bovio, MD
• Barry Lynn Bowden, DDS
• Emily Bowden, RN, FNP-C
• Audrey Bowe, MA
• Jessica Bowen, PTA
• Tracy A Bowen, R.PH.
• Danielle Bower, LAC
• Grant Bower
• Julia Bower, CNM, APN, NP, APRN

• Neonatal Nurse Practitioner in Austin, TX
• Providers in Austin, TX by specialty
• Neonatal Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.