Wendy S Bowles, CPNP

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

RN253319, NP04921 Issued in OH

Practice address

1516 Yankee Park PL
Centerville, OH 45458-1878

Phone

(937) 438-1115

Fax

(937) 424-4721

NPI assigned

Sep 30, 2006

Last updated

Nov 2, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: wendy.bowles.1@237.direct.athenahealth.com

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.

• Providence Medical Group

  • Podiatrist
  • Moraine, OH
  • NPI 1811304595
  NPD (past)
• Providence Medical Group

  • Family Medicine Physician
  • Dayton, OH
  • NPI 1972533149

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1679666085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2912 SPRINGBORO W",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391674",
            "telephone_number": "937-297-8999",
            "fax_number": "937-298-9673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 YANKEE PARK PL",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454581878",
            "telephone_number": "937-438-1115",
            "fax_number": "937-424-4721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWLES",
        "first_name": "WENDY",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-30",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "RN253319, NP04921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "421534506122",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2097387",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000585419",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samuel A Borchers, OD
• Hope Borovoy, LPCC
• Marissa Bourque, OTD
• Lindsey R Bowen, PA
• Alexander Michael Bowlby, PHARM.D.
• Julia Ann Boyd, MD
• Charlette Boykin, EFDA
• Paul Brammer, MD
• Carl Saaler Braunschweiger, DPM
• Kristen Brautigam, RD

• Pediatrics Physician in Centerville, OH
• Providers in Centerville, OH by specialty
• Pediatrics Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.