Laura Kristine Bowen, D.C.

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

X010865 Issued in NY

Practice address

99 E Main St
Suite 2
East Islip, NY 11730-2538

Phone

(631) 647-8324

Fax

(516) 352-0051

NPI assigned

Jan 30, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Islip Chiropractic PC

  • Chiropractor
  • East Islip, NY
  • NPI 1114271756
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453161600000",
    "number": "1649316134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117510027",
            "telephone_number": "631-647-8324",
            "fax_number": "631-647-8324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 E MAIN ST",
            "address_2": "SUITE 2",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117302538",
            "telephone_number": "631-647-8324",
            "fax_number": "516-352-0051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "LAURA",
        "middle_name": "KRISTINE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2016-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "NY",
            "license": "X010865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKER'S COMPENSATION",
            "identifier": "C10865-6B",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN",
            "identifier": "3605533",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol Grace Bishop, RN
• Stanley Blyskal, M.D.
• Julie Boerger, D.M.D.
• Linda O Bogarowski
• Victoria Bonomo, NP
• Edana Brady, LPN
• Catherine Brennan, CCC-SLP
• Jonneigh Briody
• Jessica Beth Brock, MS
• Nicole Irene Broderick, LMT

• Rehabilitation Chiropractor in East Islip, NY
• Providers in East Islip, NY by specialty
• Rehabilitation Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.