Individual provider Active NPI

Jennifer Leigh Leigh Bowe, NP

  • Family Nurse Practitioner
  • Williams, AZ
National Provider Identifier
1649518259
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
260856 Issued in AZ
Practice address
300 S 6TH St
Williams, AZ 86046-0110
Phone
(928) 635-4441
NPI assigned
Jan 17, 2013
Last updated
Feb 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 0193136 CO
Family Nurse Practitioner 363LF0000X 0990544-NP CO
Family Nurse Practitioner 363LF0000X 260856 AZ Primary

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 1

  • Jennifer Leigh Tofte Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jbowe1004630@wm.providencedirect.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220302002524 AZ Practitioner - Nurse Practitioner 2860718723 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0193136COMDRegistered Nurse
260856AZMDFamily Nurse Practitioner
0990544-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nextcare Arizona LLC CurrentSince Sep 25, 2024 Accepting new patients
North Country Healthcare, Inc. Current Accepting new patients
North Country Healthcare, Inc. CurrentSince Feb 1, 2022 Accepting new patients
Nextcare Arizona I JV LLC CurrentSince Sep 25, 2024 Accepting new patients
North Country Healthcare, Inc. CurrentSince Feb 1, 2022 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
Apache Junction, AZ 85120
Phone (480) 985-0172

2080 W Southern Ave
Bldg A1
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

10240 N 43rd Ave
Glendale, AZ 85302

18589 N 59th Ave
Ste 101
Glendale, AZ 85308
Phone (602) 547-2600

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

5369 S Calle Santa Cruz
Ste 145
Tucson, AZ 85706
Phone (520) 573-7500

9525 E Old Spanish Trl
Ste 101
Tucson, AZ 85748
Phone (520) 731-3666

300 S 6th St
Williams, AZ 86046
Phone (928) 635-4441

620 Lee St
Winslow, AZ 86047
Phone (928) 288-8700

Interoperability endpoints

  • Direct secure messaging: jbowe1004630@wm.providencedirect.org

Organizations & group practices 7

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": "1358380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1649518259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3630",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860033630",
            "telephone_number": "928-635-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S 6TH ST",
            "city": "WILLIAMS",
            "state": "AZ",
            "postal_code": "860460110",
            "telephone_number": "928-635-4441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16528 E Desmet Ct",
            "address_purpose": "LOCATION",
            "city": "Spokane Valley",
            "state": "WA",
            "postal_code": "99216",
            "country_code": "US",
            "telephone_number": "509-944-8910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "360 Peak One Dr Ste #100",
            "address_2": "Summit Community Care Clinic",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "CO",
            "postal_code": "80443",
            "country_code": "US",
            "telephone_number": "970-668-4040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWE",
        "first_name": "JENNIFER LEIGH",
        "middle_name": "LEIGH",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-17",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "0193136",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0990544-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "260856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbowe1004630@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "16528 E Desmet Ct",
            "city": "Spokane Valley",
            "state": "WA",
            "country_code": "US",
            "postal_code": "99216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "TOFTE",
            "middle_name": "LEIGH",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Williams, AZ

Sources for this page

Verify at the official NPI Registry.