Cathleen Suzanne Bouwsma, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

4704153215 Issued in MI

Practice address

250 Fuller Ave SE
Grand Rapids, MI 49506-1675

Phone

(616) 458-6951

NPI assigned

Jul 20, 2009

Sex

Female

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Geriatric Psychiatric Services PLLC

  • Clinical Psychologist
  • Indianapolis, IN
  • NPI 1073753323
  NPD (past)

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248048000000",
    "number": "1356571749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 FULLER AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495061675",
            "telephone_number": "616-458-6951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 FULLER AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495061675",
            "telephone_number": "616-458-6951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUWSMA",
        "first_name": "CATHLEEN",
        "middle_name": "SUZANNE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-20",
        "last_updated": "2009-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704153215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Bouwkamp, C-FNP
• Timothy Bouwkamp, RPH
• Kristen Leigh Bouwma
• Mallory Mae Bouwman, LMSW
• Robert Bouws, LMSW
• Katlynn Elizabeth Bovee, LMSW
• Maxwell Boven
• Brian Mitchell Boville, M.D.
• Bowan Dialysis LLC
• Brooke Bowden, M.S., CCC-SLP

• Adult Health Nurse Practitioner in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Adult Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.