Active NPI
Tracey Ann Bowman, MSN CNM ARNP
- Advanced Practice Midwife
- Manchester, NH
National Provider Identifier
1649330762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 0325772301
- 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, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1243285 | Other | AETNA | |
| AA11041 | Other | HARVARD PILGRIM WOMENS WA | |
| AA48590 | Other | HARVARD PILGRIM | |
| 30340425 | Medicaid | NH | |
| 4007922Y0NH01 | Other | WOMEN'S WAY MIDWIFERY | |
| 4007922Y0NH05 | Other | ANTHEM | |
| 58510 | Other | WOMEN'S WAY MIDWIFERY | |
| 648836 | Other | TUFTS | |
| 58509 | Other | BCBS OF VERMONT | |
| 7652101 | Other | CIGNA |
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.
- Credentials
- Certified Nurse Midwife, Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000339 | CT | MD | Surgical Physician Assistant |
| 03257721 | NH | MD | Nurse Practitioner |
| 0325772301 | NH | MD | Advanced Practice Midwife |
| 101.0105155 | VT | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concord Hospital-Franklin | Past | Accepting new patients | |
| Planned Parenthood of Northern New England | Past | Accepting new patients | |
| Planned Parenthood of Northern New England | Past | Accepting new patients | |
| Planned Parenthood of Northern New England | Past | Accepting new patients | |
| Planned Parenthood of Northern New England | Past | 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.
-
dba Concord Hospital-Franklin Swing Bed
- Critical Access Hospital
- Franklin, NH
- NPI 1114005535
-
- Non-Pharmacy Dispensing Site
- Manchester, NH
- NPI 1225429483
-
- Non-Pharmacy Dispensing Site
- Keene, NH
- NPI 1326439589
-
- Non-Pharmacy Dispensing Site
- Barre, VT
- NPI 1851782015
-
- Non-Pharmacy Dispensing Site
- Brattleboro, VT
- NPI 1922499185
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.