Individual provider Active NPI

Angel Bowden, AGNP

  • Gerontology Nurse Practitioner
  • Kinston, NC
National Provider Identifier
1619567666
Registry record updated Jan 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
5013991 Issued in NC
Practice address
2150 Hull Rd
Kinston, NC 28504-2052
Phone
(800) 979-9595
Fax
(248) 662-9845
NPI assigned
Jan 24, 2021
Last updated
Jan 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 5013991 NC Primary

Addresses

Primary practice location

2150 Hull Rd
Kinston, NC 28504-2052

Mailing address

PO Box 1971
Clinton, NC 28329-1971
Phone (910) 379-7687

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL abowden@generalmedicine.com

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210217000715 NC Practitioner - Nurse Practitioner 4587079967 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5013991NCMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Goshen Medical Center Incorporated CurrentSince Jul 20, 2021 Accepting new patients
Goshen Medical Center Incorporated CurrentSince Jul 20, 2021 Accepting new patients
Goshen Medical Center, Incorporated Current Accepting new patients

Locations

444 SW Center St
Faison, NC 28341
Phone (910) 267-0421

Organizations & group practices 3

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": "1611446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611446400000",
    "number": "1619567666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1971",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283291971",
            "telephone_number": "910-379-7687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 HULL RD",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285042052",
            "telephone_number": "800-979-9595",
            "fax_number": "248-662-9845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWDEN",
        "first_name": "ANGEL",
        "name_prefix": "Ms.",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-24",
        "last_updated": "2021-01-24",
        "certification_date": "2021-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NC",
            "license": "5013991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "abowden@generalmedicine.com",
            "affiliation": "N",
            "address_1": "2150 Hull Rd",
            "city": "Kinston",
            "state": "NC",
            "country_code": "US",
            "postal_code": "285042052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kinston, NC

Sources for this page

Verify at the official NPI Registry.