Individual provider Active NPI

Haley Jeanette Bowden, APRN

  • Family Nurse Practitioner
  • Grayson, KY
National Provider Identifier
1639575384
Registry record updated Sep 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3008827 Issued in KY
Practice address
105 St Hwy 1947 a
Grayson, KY 41143-6825
Phone
(606) 475-0152
Fax
(606) 474-4240
NPI assigned
Nov 7, 2014
Last updated
Sep 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 16660-NP OH
Family Nurse Practitioner 363LF0000X 3008827 KY Primary

Addresses

Primary practice location

105 St Hwy 1947 a
Grayson, KY 41143-6825

Mailing address

PO Box 1595
Ashland, KY 41105-1595
Phone (606) 408-6200

Other practice location 1

399 Diederich Blvd
Ashland, KY 41101-7007
Phone (606) 324-8060

Other practice location 2

12470 State Route 60
Ashland, KY 41102
Phone (606) 408-6303

Other identifiers 3

IdentifierTypeStateIssuer
0116292MedicaidOH
7100341150MedicaidKY
3910006415MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150203001824 OH Practitioner - Nurse Practitioner 1355666835 Reassigns benefits to 1 organization
I20150317002941 KY Practitioner - Nurse Practitioner 1355666835 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ashland Hospital CorporationGroup PAC ID 7719882521, shared by 6 NPIs, 169 clinicians

Practice addresses (Care Compare)

384 County Rd 120
South Point, OH 45680-7807
Phone (740) 894-2080

384 County Rd 120 So
South Point, OH 45680-7807
Phone (740) 894-2080

609 N Carol Malone Blvd
Grayson, KY 41143-1123
Phone (606) 474-7892

912 Park Ave
Ironton, OH 45638-1596
Phone (740) 534-0021

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.16 of 100Reported as group
Quality
77.42
Promoting interoperability
100
Improvement activities
40
Cost
77.62

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3008827KYMDFamily Nurse Practitioner
16660-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ashland Hospital Corporation Current Accepting new patients
Ashland Hospital Corporation CurrentSince Nov 11, 2014 Accepting new patients
Ashland Hospital Corporation Current Accepting new patients
Ashland Hospital Corporation Family CurrentSince Nov 11, 2014 Accepting new patients

Locations

10650 US Route 60
Ashland, KY 41102
Phone (606) 408-6301

12100 Princeland Spur
Ashland, KY 41102
Phone (606) 928-2963

2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560

2245 Winchester Ave
Ashland, KY 41101
Phone (606) 408-2600

398 Diederich Blvd
Ashland, KY 41101
Phone (606) 324-2055

105 State Highway 1947
#A
Grayson, KY 41143
Phone (606) 474-7892

609 N Carol Malone Blvd
Grayson, KY 41143
Phone (606) 324-1070

609 N Carol Malone Blvd
#100
Grayson, KY 41143
Phone (606) 474-7892

384 County Road 120 S
South Point, OH 45680
Phone (740) 894-2080

Interoperability endpoints

  • Direct secure messaging: hbowden5757@direct.kdhealth.us

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1415318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1639575384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1595",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411051595",
            "telephone_number": "606-408-6200",
            "fax_number": "606-408-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 ST HWY 1947 A",
            "city": "GRAYSON",
            "state": "KY",
            "postal_code": "411436825",
            "telephone_number": "606-475-0152",
            "fax_number": "606-474-4240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "399 Diederich Blvd",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "KY",
            "postal_code": "411017007",
            "country_code": "US",
            "telephone_number": "606-324-8060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12470 State Route 60",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "KY",
            "postal_code": "41102",
            "country_code": "US",
            "telephone_number": "606-408-6303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWDEN",
        "first_name": "HALEY",
        "middle_name": "JEANETTE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-07",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "16660-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3008827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0116292",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100341150",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3910006415",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grayson, KY

Sources for this page

Verify at the official NPI Registry.