Individual provider Active NPI

Kristi L Bowser, DNP FNP-C

  • Family Nurse Practitioner
  • Toledo, OH
National Provider Identifier
1649280967
Registry record updated Jul 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
08918-NP Issued in OH
Practice address
2409 Cherry St
Suite 307
Toledo, OH 43608-2625
Phone
(419) 251-4873
Fax
(419) 251-0656
NPI assigned
Aug 9, 2006
Last updated
Jul 27, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 08918-NP OH Primary

Addresses

Primary practice location

2409 Cherry St
Suite 307
Toledo, OH 43608-2625

Mailing address

2200 Jefferson Ave
5TH FL Credentialing Department
Toledo, OH 43604-7101

Other identifiers 1

IdentifierTypeStateIssuer
2693134MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20060817000492 OH Practitioner - Nurse Practitioner 5698778330 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
08918-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC Current Accepting new patients
Vpa PC CurrentSince Jun 8, 2015 Accepting new patients
Vpa PC CurrentSince Jun 8, 2015 Accepting new patients
Vpa PC Current Accepting new patients
University of Toledo Physicians LLC Past Accepting new patients

Locations

355 E Campus View Blvd
Ste 180
Columbus, OH 43235
Phone (614) 523-2155

1900 Indian Wood Cir
Ste 202B
Maumee, OH 43537
Phone (419) 578-8594

7350 Industrial Park Blvd
Mentor, OH 44060
Phone (216) 732-9480

Organizations & group practices 5

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469577600000",
    "number": "1649280967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 JEFFERSON AVE",
            "address_2": "5TH FL CREDENTIALING DEPARTMENT",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436047101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2409 CHERRY ST",
            "address_2": "SUITE 307",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436082625",
            "telephone_number": "419-251-4873",
            "fax_number": "419-251-0656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWSER",
        "first_name": "KRISTI",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "DNP FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2016-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "08918-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2693134",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.