Beverly Lucinda Bowling, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

3007778 Issued in KY

Practice address

3625 Fern Valley Rd
Louisville, KY 40219-1916

Phone

(502) 964-3381

NPI assigned

Nov 19, 2012

Last updated

Nov 19, 2012By 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 1

Addresses

Other names 1

• Beverly Lucinda Meeks Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Vintage Care Inc.

  • Geriatric Medicine (Internal Medicine) Physician
  • Louisville, KY
  • NPI 1376598763
  NPD (past)

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

{
    "created_epoch": "1353283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353283200000",
    "number": "1609110352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 72700",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402720700",
            "telephone_number": "502-380-5503",
            "fax_number": "502-937-3807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 FERN VALLEY RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402191916",
            "telephone_number": "502-964-3381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWLING",
        "first_name": "BEVERLY",
        "middle_name": "LUCINDA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-19",
        "last_updated": "2012-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KY",
            "license": "3007778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BEVERLY",
            "last_name": "MEEKS",
            "middle_name": "LUCINDA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gabrielle Bowlds
• Bowles Chiropractic
• Shannon L Bowles, MT-BC
• Aja Monet Bowling, O.D.
• Benjamin Thomas Bowling
• Cynthia Sue Bowling, LCSW, MSSW
• Erin Elizabeth Bowling, LPCC
• Jane Marie Bowling, PH.D
• Joshua Bowling, LCSW
• Kyle Harper Bowling, D.C.

• Adult Health Nurse Practitioner in Louisville, KY
• Providers in Louisville, KY by specialty
• Adult Health Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; 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.