Individual provider Active NPI

Laura Bowman

  • Psychiatric/Mental Health Nurse Practitioner
  • Houston, TX
National Provider Identifier
1407679608
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1179516 Issued in TX
Practice address
1201 Fannin St Ste 262
Houston, TX 77002-6943
Phone
(254) 218-3197
NPI assigned
Nov 5, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 61639034 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1179516 TX Primary

Addresses

Primary practice location

1201 Fannin St Ste 262
Houston, TX 77002-6943

Mailing address

355 Amber Wood
Lufkin, TX 75904-7466
Phone (936) 676-7779

Other practice location 1

707 S Grady Way Ste 600
Renton, WA 98057-3227
Phone (206) 588-5251

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1179516TXMDPsychiatric/Mental Health Nurse Practitioner
61639034WAMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1730764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1407679608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 AMBER WOOD",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759047466",
            "telephone_number": "936-676-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 FANNIN ST STE 262",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770026943",
            "telephone_number": "254-218-3197"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "707 S Grady Way Ste 600",
            "address_purpose": "LOCATION",
            "city": "Renton",
            "state": "WA",
            "postal_code": "980573227",
            "country_code": "US",
            "telephone_number": "206-588-5251",
            "fax_number": "206-238-9564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "LAURA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-05",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "61639034",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1179516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; 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.