Individual provider Active NPI

Serina Bowen, RN, BSN, M.ED, ATC

  • School Registered Nurse
  • Fullerton, NE
National Provider Identifier
1598220451
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
77976 Issued in NE
Practice address
606 4TH St
Fullerton, NE 68638-3176
Phone
(308) 536-2431
NPI assigned
Feb 5, 2019
Last updated
Feb 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 77976 NE Primary

Addresses

Primary practice location

606 4TH St
Fullerton, NE 68638-3176

Mailing address

27867 Woodside Dr
Columbus, NE 68601-8978
Phone (970) 216-8786

Other practice location 1

706 Ewing St
Genoa, NE 68640-3035
Phone (402) 993-2283

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, Master of Education, Registered Nurse

State licenses

LicenseStateTypeSpecialty
77976NEMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Fullerton Public Schools CurrentSince Feb 8, 2023 Accepting new patients
Gretna Public Schools PastSince Jan 17, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: serina.bowen.1@16293.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1549324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1598220451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27867 WOODSIDE DR",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686018978",
            "telephone_number": "970-216-8786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 4TH ST",
            "city": "FULLERTON",
            "state": "NE",
            "postal_code": "686383176",
            "telephone_number": "308-536-2431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "706 Ewing St",
            "address_purpose": "LOCATION",
            "city": "Genoa",
            "state": "NE",
            "postal_code": "686403035",
            "country_code": "US",
            "telephone_number": "402-993-2283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "SERINA",
        "name_prefix": "Mrs.",
        "credential": "RN, BSN, M.ED, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-05",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NE",
            "license": "77976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; 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.