Tyesha Bowen, AGNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

ARNP9358144 Issued in FL

Practice address

1691 Forum PL Ste B
West Palm Beach, FL 33401-2336

Phone

(561) 412-8992

Fax

(401) 238-6057

NPI assigned

Oct 30, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IJFADD/Endpoint/IJFADD

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

• Essential Telehealth LLC

  • Primary Care Nurse Practitioner
  • West Palm Beach, FL
  • NPI 1952006421
  NPD Authorized official
• Lakeside Medical LLC

  • Internal Medicine Physician
  • Pembroke Pines, FL
  • NPI 1356820286
  NPD

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

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1629440516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 KENSINGTON WAY",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334144316",
            "telephone_number": "561-412-8992",
            "fax_number": "401-238-6057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1691 FORUM PL STE B",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334012336",
            "telephone_number": "561-412-8992",
            "fax_number": "401-238-6057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "TYESHA",
        "name_prefix": "Miss",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-30",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "FL",
            "license": "ARNP9358144",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "ARNP9358144",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP9358144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Boursiquot, LCSW
• Abanoub Boutros, DC
• Marianne Boutros, PA-C
• Vivyan Boutros
• Beverly Anne Bowen, DMD
• Rhonda Bowers
• Madelynn H Bowie
• Casey Gordon Boyer, M.D.
• Andre Eduardo Boz, AA
• BP Assisted Living Facility III Inc

• Adult Health Nurse Practitioner in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.