Individual provider Active NPI

Adraenne Bowe, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1700047602
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F333961-1 Issued in NY
Practice address
1 Time Warner Ctr
10TH FLR., Room 10-140
New York, NY 10019-6038
Phone
(212) 484-6912
Fax
(212) 484-7269
NPI assigned
Jun 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F333961-1 NY Primary
Pediatric Nurse Practitioner 363LP0200X F380388-1 NY

Addresses

Primary practice location

1 Time Warner Ctr
10TH FLR., Room 10-140
New York, NY 10019-6038

Mailing address

1 Time Warner Ctr
10TH FLR., Room 10-140
New York, NY 10019-6038
Phone (212) 484-6912

Other names 1

  • Adraenne Bernstein Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
F333961-1NYMDFamily Nurse Practitioner
F380388-1NYMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CHS Ny Medical, P.C. Past Accepting new patients

Organizations & group practices 1

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": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214179200000",
    "number": "1700047602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 TIME WARNER CTR",
            "address_2": "10TH FLR., ROOM 10-140",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100196038",
            "telephone_number": "212-484-6912",
            "fax_number": "212-484-7269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TIME WARNER CTR",
            "address_2": "10TH FLR., ROOM 10-140",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100196038",
            "telephone_number": "212-484-6912",
            "fax_number": "212-484-7269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWE",
        "first_name": "ADRAENNE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-23",
        "last_updated": "2008-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F333961-1",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "F380388-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADRAENNE",
            "last_name": "BERNSTEIN",
            "credential": "NURSE PRACTITIONER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.