Individual provider Active NPI

Elizabeth Marie Bowdoin, BSN, RN, CNOR, RNFA

  • Registered Nurse First Assistant
  • Holts Summit, MO
National Provider Identifier
1518501154
Registry record updated Nov 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
2003013746 Issued in MO
Practice address
11920 County Road 4001
Holts Summit, MO 65043-2529
Phone
(660) 988-4196
NPI assigned
Nov 6, 2019
Last updated
Nov 6, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X 2003013746 MO Primary

Addresses

Primary practice location

11920 County Road 4001
Holts Summit, MO 65043-2529

Mailing address

11920 County Road 4001
Holts Summit, MO 65043-2529
Phone (660) 988-4196

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

LicenseStateTypeSpecialty
2003013746MOMDRegistered Nurse First Assistant

NPI Registry JSON

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

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1518501154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11920 COUNTY ROAD 4001",
            "city": "HOLTS SUMMIT",
            "state": "MO",
            "postal_code": "650432529",
            "telephone_number": "660-988-4196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11920 COUNTY ROAD 4001",
            "city": "HOLTS SUMMIT",
            "state": "MO",
            "postal_code": "650432529",
            "telephone_number": "660-988-4196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWDOIN",
        "first_name": "ELIZABETH",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "BSN, RN, CNOR, RNFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-06",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "MO",
            "license": "2003013746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holts Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; 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.