Jennifer Leigh Leigh Bowe, NP
Individual provider Active NPI Family Nurse Practitioner · Williams, AZ
NPI 1649518259 · NPPES record last updated Feb 14, 2022
Key facts
- NPI
- 1649518259
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 260856 (AZ)
- Practice address
- 300 S 6TH St
Williams, AZ 86046-0110 - Phone
- (928) 635-4441
- NPI assigned
- Jan 17, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 7
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220302002524 | AZ | Practitioner - Nurse Practitioner | 2860718723 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0193136 | CO | MD | Registered Nurse |
| 0990544-NP | CO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nextcare Arizona I JV LLC | Current |
Accepting new patients | |
| North Country Healthcare, Inc. | Current |
Accepting new patients | |
| North Country Healthcare, Inc. | Current | Accepting new patients | |
| Nextcare Arizona LLC | Current |
Accepting new patients | |
| North Country Healthcare, Inc. | Current |
Accepting new patients | |
| North Country Healthcare, Inc. | Current | Accepting new patients | |
| Tri-City Express Care, PLLC | Past | Accepting new patients |
Locations (25 of 26)
2080 W Southern Ave
Bldg A1
Apache Junction, AZ 85120
Phone (480) 985-0172
2080 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 985-0172
13075 W McDowell Rd
Ste D106
Avondale, AZ 85392
Phone (623) 547-0522
1683 E Florence Blvd
Ste 7
Casa Grande, AZ 85122
Phone (520) 876-0800
1155 W Ocotillo Rd
Ste 4
Chandler, AZ 85248
Phone (480) 374-7400
450 S Willard St
Ste 120
Cottonwood, AZ 86326
Phone (928) 634-2574
1000 N Humphreys St
Ste 104
Flagstaff, AZ 86001
Phone (928) 779-3844
18589 N 59th Ave
Ste 101
Glendale, AZ 85308
Phone (602) 547-2600
10240 N 43rd Ave
Glendale, AZ 85302
17688 W Elliot Rd
Goodyear, AZ 85338
Phone (623) 889-6823
18773 S Nogales Hwy
Ste 125
Green Valley, AZ 85614
Phone (520) 771-0316
13840 W Camelback Rd
Ste 10
Litchfield Park, AZ 85340
Phone (602) 853-4057
1810 Mesquite Ave
Ste B
Lk Havasu Cty, AZ 86403
Phone (928) 453-4600
20236 N John Wayne Pkwy
Ste 100
Maricopa, AZ 85139
Phone (520) 518-7510
1066 N Power Rd
Ste 101
Mesa, AZ 85205
Phone (480) 807-0130
20470 N Lake Pleasant Rd
Ste 102
Peoria, AZ 85382
Phone (623) 825-4600
20950 N Tatum Blvd
Ste 190
Phoenix, AZ 85050
Phone (480) 476-0021
2062 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 443-5103
2122 N Scottsdale Rd
Scottsdale, AZ 85257
Phone (480) 889-3570
914 N Scottsdale Rd
Ste 104
Tempe, AZ 85288
Phone (480) 776-1620
1570 E Tucson Marketplace Blvd
Ste 140
Tucson, AZ 85713
Phone (520) 301-2300
9525 E Old Spanish Trl
Ste 101
Tucson, AZ 85748
Phone (520) 731-3666
5369 S Calle Santa Cruz
Ste 145
Tucson, AZ 85706
Phone (520) 573-7500
300 S 6th St
Williams, AZ 86046
Phone (928) 635-4441
620 Lee St
Winslow, AZ 86047
Phone (928) 288-8700
Interoperability endpoints
- jbowe1004630@wm.providencedirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 0193136 | CO | |
| Family Nurse Practitioner | 363LF0000X | 0990544-NP | CO | |
| Family Nurse Practitioner | 363LF0000X | 260856 | AZ | Yes |
Addresses
Primary practice location
300 S 6TH St
Williams, AZ 86046-0110
Mailing address
PO Box 3630
Flagstaff, AZ 86003-3630
Phone (928) 635-4441
Other practice location 1
16528 E Desmet Ct
Spokane Valley, WA 99216
Phone (509) 944-8910
Other practice location 2
360 Peak One Dr Ste #100
Summit Community Care Clinic
Frisco, CO 80443
Phone (970) 668-4040
Other names
- Jennifer Leigh Tofte
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jbowe1004630@wm.providencedirect.org | Direct |
Other providers in Williams, AZ
- Arizona Senior Care Centers
- Tyler Arkless
- George Lynn Bardwell
- Jill Ann Barrett
- Bellwether Ranch Foundation
- Madison Braden
- CBT Health Services, LLC
- Yoon Jung Choi
- Michael Collier
- Trasi Lynn Crumrin
All providers in Williams, AZ · Family Nurse Practitioner in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.