Bridgette A Bowen, M.ED., LPAT, ATR-BC

Primary specialty

Art TherapistTaxonomy code 221700000X

License

274117 Issued in KY

Practice address

3121 Brooklawn Campus Dr
Louisville, KY 40218-1282

Phone

(502) 451-5177

NPI assigned

Sep 24, 2019

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1569283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1417508128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 STEVENS AVE APT 1",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402051065",
            "telephone_number": "815-975-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3121 BROOKLAWN CAMPUS DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402181282",
            "telephone_number": "502-451-5177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "BRIDGETTE",
        "middle_name": "A",
        "credential": "M.ED., LPAT, ATR-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-24",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "KY",
            "license": "243760",
            "primary": false
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "KY",
            "license": "274117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael J Bouvette, M.D.
• Sheryl Bowdry
• Alexis C. Bowe
• Casey Bowe, MD
• Keturah Bowe
• Christopher Paul Bowen, CRNA
• Danny R Bowen, CRNA
• Kristin Sha Bowen, MS, OTR/L
• Laurel Bowen, M.D.
• Susan Renee Bowen, PHD

• Art Therapist in Louisville, KY
• Providers in Louisville, KY by specialty
• Art Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.