Active NPI
Grace Bowman
- Community Psychiatric/Mental Health Clinical Nurse Specialist
- Philadelphia, PA
National Provider Identifier
1710816665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Psychiatric/Mental Health Clinical Nurse Specialist
- License
- SP034823
- Practice address
- 6307 Lansdowne Ave
Philadelphia, PA 19151-3450 - Phone
- (215) 500-7931
- NPI assigned
- May 18, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0812X | SP034823 | PA | Primary |
Addresses
Primary practice location
6307 Lansdowne Ave
Philadelphia, PA 19151-3450
Mailing address
PO Box 3
Drexel Hill, PA 19026-0003
Phone (215) 500-7931
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
| License | State | Type | Specialty |
|---|---|---|---|
| SP034823 | PA | MD | Community Psychiatric/Mental Health Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779062400000",
"number": "1710816665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3",
"city": "DREXEL HILL",
"state": "PA",
"postal_code": "190260003",
"telephone_number": "215-500-7931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6307 LANSDOWNE AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191513450",
"telephone_number": "215-500-7931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWMAN",
"first_name": "GRACE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-05-18",
"last_updated": "2026-05-18",
"certification_date": "2026-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "364SP0812X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Community",
"state": "PA",
"license": "SP034823",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.