Individual provider Active NPI

Tracey Ann Bowman, MSN CNM ARNP

  • Advanced Practice Midwife
  • Manchester, NH
National Provider Identifier
1649330762
Registry record updated Mar 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
0325772301 Issued in NH
Practice address
24 Pennacook St
Manchester, NH 03104-3554
Phone
(603) 669-7321
Fax
(603) 621-0097
NPI assigned
Dec 11, 2006
Last updated
Mar 31, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 03257721 NH
Advanced Practice Midwife 367A00000X 0325772301 NH Primary
Advanced Practice Midwife 367A00000X 101.0105155 VT

Addresses

Primary practice location

24 Pennacook St
Manchester, NH 03104-3554

Mailing address

784 Hercules Dr
Ste 110
Colchester, VT 05446-8049
Phone (802) 448-9719

Other identifiers 10

IdentifierTypeStateIssuer
1243285OtherAETNA
AA11041OtherHARVARD PILGRIM WOMENS WA
AA48590OtherHARVARD PILGRIM
30340425MedicaidNH
4007922Y0NH01OtherWOMEN'S WAY MIDWIFERY
4007922Y0NH05OtherANTHEM
58510OtherWOMEN'S WAY MIDWIFERY
648836OtherTUFTS
58509OtherBCBS OF VERMONT
7652101OtherCIGNA

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
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Certified Nurse Midwife, Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
000339CTMDSurgical Physician Assistant
03257721NHMDNurse Practitioner
0325772301NHMDAdvanced Practice Midwife
101.0105155VTMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Hospital-Franklin Past Accepting new patients
Planned Parenthood of Northern New England Past Accepting new patients
Planned Parenthood of Northern New England PastSince Feb 7, 2014 Accepting new patients
Planned Parenthood of Northern New England Past Accepting new patients
Planned Parenthood of Northern New England PastSince Sep 16, 2014 Accepting new patients

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459382400000",
    "number": "1649330762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "784 HERCULES DR",
            "address_2": "STE 110",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054468049",
            "telephone_number": "802-448-9719",
            "fax_number": "802-660-9438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 PENNACOOK ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031043554",
            "telephone_number": "603-669-7321",
            "fax_number": "603-621-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "TRACEY",
        "middle_name": "ANN",
        "credential": "MSN CNM ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2016-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NH",
            "license": "03257721",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NH",
            "license": "0325772301",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "VT",
            "license": "101.0105155",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1243285",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM WOMENS WA",
            "identifier": "AA11041",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "AA48590",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30340425",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WOMEN'S WAY MIDWIFERY",
            "identifier": "4007922Y0NH01",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "4007922Y0NH05",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WOMEN'S WAY MIDWIFERY",
            "identifier": "58510",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "648836",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF VERMONT",
            "identifier": "58509",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7652101",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; 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.