Individual provider Active NPI

Cathleen Penny Monica Bowman, FNP

  • Family Nurse Practitioner
  • Milwaukee, WI
National Provider Identifier
1548618937
Registry record updated Nov 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6910-33 Issued in WI
Practice address
1555 N Rivercenter Dr
Milwaukee, WI 53212-3981
Phone
(414) 223-4847
Fax
(414) 231-1092
NPI assigned
May 26, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 145760-30 WI
Family Nurse Practitioner 363LF0000X 6910-33 WI Primary
Primary Care Nurse Practitioner 363LP2300X 6910-33 WI

Addresses

Primary practice location

1555 N Rivercenter Dr
Milwaukee, WI 53212-3981

Mailing address

2363 N 47TH St
Milwaukee, WI 53210-2923
Phone (414) 975-9216

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
145760-30WIMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480204800000",
    "number": "1548618937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2363 N 47TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532102923",
            "telephone_number": "414-975-9216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 N RIVERCENTER DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532123981",
            "telephone_number": "414-223-4847",
            "fax_number": "414-231-1092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "CATHLEEN",
        "middle_name": "PENNY MONICA",
        "name_prefix": "Miss",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-26",
        "last_updated": "2016-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "145760-30",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "6910-33",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "WI",
            "license": "6910-33",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.