Individual provider Active NPI

Adam Clinton Bowen, LPN

  • Licensed Practical Nurse
  • Haymarket, VA
National Provider Identifier
1629629332
Registry record updated Sep 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
0002055542 Issued in VA
Practice address
14440 Dowden Downs Dr
Haymarket, VA 20169-1263
Phone
(571) 271-1458
NPI assigned
Sep 24, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 0002055542 VA Primary

Addresses

Primary practice location

14440 Dowden Downs Dr
Haymarket, VA 20169-1263

Mailing address

14440 Dowden Downs Dr
Haymarket, VA 20169-1263
Phone (571) 271-1458

Other identifiers 1

IdentifierTypeStateIssuer
0002055542OtherVALICENSED PRACTICAL NURSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address abowen@outlook.com Direct

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

State licenses

LicenseStateTypeSpecialty
0002055542VAMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1569283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569283200000",
    "number": "1629629332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14440 DOWDEN DOWNS DR",
            "city": "HAYMARKET",
            "state": "VA",
            "postal_code": "201691263",
            "telephone_number": "571-271-1458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14440 DOWDEN DOWNS DR",
            "city": "HAYMARKET",
            "state": "VA",
            "postal_code": "201691263",
            "telephone_number": "571-271-1458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "ADAM",
        "middle_name": "CLINTON",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-24",
        "last_updated": "2019-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "VA",
            "license": "0002055542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PRACTICAL NURSE",
            "identifier": "0002055542",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "abowen@outlook.com",
            "affiliation": "N",
            "endpointDescription": "private email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "14440 Dowden Downs Dr",
            "city": "Haymarket",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201691263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Haymarket, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; 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.