Individual provider Active NPI

Elizabeth G. Bowden, M.A. CCC-A

  • Audiologist
  • Rogers, AR
National Provider Identifier
1649438136
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A #94 Issued in AR
Practice address
5204 W Redbud St
Rogers, AR 72758-8936
Phone
(479) 636-0110
Fax
(479) 631-0491
NPI assigned
May 30, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A #94 AR Primary

Addresses

Primary practice location

5204 W Redbud St
Rogers, AR 72758-8936

Mailing address

PO Box 776084
Chicago, IL 60677-6084
Phone (314) 543-6979

Other practice location 1

4255 N Venetian Ln
Fayetteville, AR 72703-5077
Phone (479) 521-1238

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090211000712 AR Practitioner - Qualified Audiologist 8022173871 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Northwest Arkansas CommunitiesGroup PAC ID 0648177873, shared by 5 NPIs, 314 clinicians

Practice addresses (Care Compare)

4600 Mercy LN
Suite 240
Springdale, AR 72762-3070
Phone (479) 338-3720

5204 W Redbud St
Nwa Ear Nose and Throat
Rogers, AR 72758-8936
Phone (479) 636-0110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
A #94ARMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hello Wellness PLC CurrentSince Feb 23, 2012 Accepting new patients
Mercy Health Northwest Arkansas Communities Audiologist CurrentSince Jan 22, 2025 Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Mar 24, 2025 Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Jan 22, 2025 Accepting new patients
Fayetteville-Springdale Ear, Nose & Throat Clinic Past Accepting new patients

Locations

3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100

1706 E Joyce Blvd
Ste 1
Fayetteville, AR 72703
Phone (479) 249-6362

5204 W Redbud St
Rogers, AR 72758
Phone (479) 636-0110

4600 Mercy Ln
Ste 240
Springdale, AR 72762
Phone (479) 338-4400

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1649438136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776084",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776084",
            "telephone_number": "314-543-6979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5204 W REDBUD ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588936",
            "telephone_number": "479-636-0110",
            "fax_number": "479-631-0491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4255 N Venetian Ln",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "AR",
            "postal_code": "727035077",
            "country_code": "US",
            "telephone_number": "479-521-1238",
            "fax_number": "479-521-0509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWDEN",
        "first_name": "ELIZABETH",
        "middle_name": "G.",
        "credential": "M.A. CCC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-30",
        "last_updated": "2025-03-06",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AR",
            "license": "A #94",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; 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.