Active NPI
Caryn Ann Bowden, FNP
- Pediatric Nurse Practitioner
- Wilmington, NC
National Provider Identifier
1508923368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 201752
- Practice address
- 2421 Silver Stream LN
Wilmington, NC 28401-7684 - Phone
- (910) 763-2072
- Fax
- (910) 251-8824
- NPI assigned
- Jan 2, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 201752 | NC | |
| Pediatric Nurse Practitioner | 363LP0200X | 201752 | NC | Primary |
Addresses
Primary practice location
2421 Silver Stream LN
Wilmington, NC 28401-7684
Mailing address
1202 Medical Center Dr
Wilmington, NC 28401-7307
Phone (910) 341-3300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201752 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wilmington ASC LLC | Current | Accepting new patients | |
| Wilmington Health PLLC | Current | Accepting new patients | |
| Wilmington Health PLLC | Current | Accepting new patients | |
| French Broad Pediatric Associates, PLLC | Past | Accepting new patients |
Locations
1202 Medical Center Dr
Wilmington, NC 28401
Phone (910) 617-6705
2421 Silver Stream Ln
Wilmington, NC 28401
Phone (910) 763-2072
Interoperability endpoints
- https://api.platform.athenahealth.com/5610/brand/1/csg/1/fhir/r4
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Wilmington, NC
- NPI 1881632339
-
- Ambulatory Surgical Clinic/Center
- Wilmington, NC
- NPI 1548456478
-
- Family Medicine Physician
- Wilmington, NC
- NPI 1780996173
-
- Pediatrics Physician
- Asheville, NC
- NPI 1245587534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407196800000",
"number": "1508923368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1202 MEDICAL CENTER DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017307",
"telephone_number": "910-341-3300",
"fax_number": "910-341-3321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2421 SILVER STREAM LN",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017684",
"telephone_number": "910-763-2072",
"fax_number": "910-251-8824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWDEN",
"first_name": "CARYN",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-02",
"last_updated": "2014-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "201752",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NC",
"license": "201752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; 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.