Individual provider Active NPI

Judith Lynn Bowen, ARNP

  • Adult Health Nurse Practitioner
  • Kissimmee, FL
National Provider Identifier
1689935595
Registry record updated Jun 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
9243025 Issued in FL
Practice address
1032 Mann St
Kissimmee, FL 34741-4121
Phone
(407) 518-7277
Fax
(407) 518-7280
NPI assigned
Jun 6, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 9243025 FL Primary

Addresses

Primary practice location

1032 Mann St
Kissimmee, FL 34741-4121

Mailing address

5416 Struthers Rd
Winter Haven, FL 33884-2617
Phone (863) 651-4901

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20121227000114 FL Practitioner - Nurse Practitioner 6002069051 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NP Health of FL LLCGroup PAC ID 2365867165, 11 clinicians

Practice addresses (Care Compare)

701 Overlook Dr
Winter Haven, FL 33884-1671
Phone (863) 318-5000

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9243025FLMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Florida Infectious Diseases LLC CurrentSince Oct 27, 2012 Accepting new patients
NP Health of FL LLC CurrentSince Jan 1, 2022 Accepting new patients

Locations

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

200 Avenue F NE
Winter Haven, FL 33881
Phone (863) 292-4652

435 2nd St NE
Winter Haven, FL 33881
Phone (863) 288-0942

701 Overlook Dr
Winter Haven, FL 33884
Phone (440) 897-4911

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EDIGBD

Organizations & group practices 2

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": "1338940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338940800000",
    "number": "1689935595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5416 STRUTHERS RD",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338842617",
            "telephone_number": "863-651-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1032 MANN ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414121",
            "telephone_number": "407-518-7277",
            "fax_number": "407-518-7280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "JUDITH",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-06",
        "last_updated": "2012-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "9243025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.