Nicole Bowden, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

4895 Issued in CA

Practice address

8167 W 3Rd St
Los Angeles, CA 90048-4314

Phone

(323) 655-2023

NPI assigned

Jun 9, 2020

Last updated

Jun 18, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 2

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": "1591660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592438400000",
    "number": "1427673078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S HOPE ST APT 925",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900154691",
            "telephone_number": "850-556-4216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8167 W 3RD ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484314",
            "telephone_number": "323-655-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWDEN",
        "first_name": "NICOLE",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-09",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "17203",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "4895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Nicole.bowden@genesishcc.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8167 W 3rd St",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900484314",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Nicole.bowden@genesishcc.com",
            "affiliation": "N",
            "address_1": "8167 W 3rd St",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900484314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Leticia Rodriguez Boutros, PNP
• Manal Monique Boutros, M.D.
• Mary Boutros
• Hania Adib Bouz
• David Bow
• Michael Eugene Bowdish, M.D.
• April Diane Bowdoin
• Schwana Bowe, LVN
• Camlyn Rae Bowen
• Carissa Jeanae Bowen

• Occupational Therapy Assistant in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Occupational Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2020; 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.