Individual provider Active NPI

Clara Bowron, JD, RN

  • Nurse Practitioner
  • Guilford, CT
National Provider Identifier
1639717127
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
8968 Issued in CT
Practice address
106 Shore Dr
Guilford, CT 06437-1590
Phone
(203) 745-6267
NPI assigned
Dec 15, 2019
Last updated
May 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 8968 CT Primary
Pediatric Nurse Practitioner 363LP0200X 8968 CT

Addresses

Primary practice location

106 Shore Dr
Guilford, CT 06437-1590

Mailing address

106 Shore Dr
Guilford, CT 06437-1590
Phone (203) 745-6267

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210511001661 CT Practitioner - Nurse Practitioner 7214346857 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Juris Doctor, Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Yale University CurrentSince Apr 15, 2021 Accepting new patients
Yale University CurrentSince Apr 15, 2021 Accepting new patients
Pediatrics Plus PC Past Accepting new patients

Locations

270 Congress Ave
New Haven, CT 06519
Phone (203) 584-7387

50 Division St
New Haven, CT 06511
Phone (203) 785-2140

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

Interoperability endpoints

  • Direct secure messaging: clara.bowron@xdr.hhchealthdirect.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1576368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1639717127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 SHORE DR",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064371590",
            "telephone_number": "203-745-6267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 SHORE DR",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064371590",
            "telephone_number": "203-745-6267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWRON",
        "first_name": "CLARA",
        "credential": "JD, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-15",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "8968",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CT",
            "license": "8968",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guilford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.