Active NPI
Amanda Bowen, BSN RN
- Rehabilitation Registered Nurse
- Saint Louis, MO
National Provider Identifier
1417756511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Registered Nurse
- License
- 2014004805
- Practice address
- 1 Jefferson Barracks Drive
Building 52, 2N65
Saint Louis, MO 63125 - Phone
- (314) 901-2328
- NPI assigned
- Mar 11, 2025
- Last updated
- Mar 11, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Registered Nurse | 163WR0400X | 2014004805 | MO | Primary |
Addresses
Primary practice location
1 Jefferson Barracks Drive
Building 52, 2N65
Saint Louis, MO 63125
Mailing address
607 Waller Ave
Saint Louis, MO 63125-1512
Phone (314) 780-5823
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
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2014004805 | MO | MD | Rehabilitation Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741651200000",
"number": "1417756511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "607 WALLER AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631251512",
"telephone_number": "314-780-5823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 JEFFERSON BARRACKS DRIVE",
"address_2": "BUILDING 52, 2N65",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "63125",
"telephone_number": "314-901-2328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWEN",
"first_name": "AMANDA",
"credential": "BSN RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-11",
"last_updated": "2025-03-11",
"certification_date": "2025-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "163WR0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Rehabilitation",
"state": "MO",
"license": "2014004805",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.