NPIMap

Individual provider Active NPI

Thernessia Lashon Bowe, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Irving, TX
National Provider Identifier
1730643511
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP140029 Issued in TX
Practice address
6363 N State Highway 161 Ste 100
Irving, TX 75038-2239
Phone
(469) 200-3272
NPI assigned
Jan 25, 2019
Last updated
Apr 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP140029 TX Primary

Addresses

Primary practice location

6363 N State Highway 161 Ste 100
Irving, TX 75038-2239

Mailing address

4249 Oak Arbor Dr
Dallas, TX 75233-3609
Phone (214) 724-8499

Other practice location 1

5200 Harry Hines Blvd
Dallas, TX 75235-7709
Phone (469) 419-0585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190607002128 TX Practitioner - Nurse Practitioner 7719210616 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Geode Health of Texas, PLLCGroup PAC ID 2062896897, 158 clinicians
Southern Area Behavioral Healthcare LLCGroup PAC ID 1658699434, 4 clinicians

Practice addresses (Care Compare)

1015 N Carroll Ave
Suite 104
Dallas, TX 75204-6607
Phone (469) 442-3434

4215 Gannon LN
Dallas, TX 75237-2914
Phone (972) 283-9090

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP140029TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Area Behavioral Healthcare LLC CurrentSince May 21, 2024 Accepting new patients
North Texas Behavioral Health Authority Psychiatric/Mental Health CurrentSince May 21, 2024 Accepting new patients
BSW Geode Clinicians of Texas PLLC CurrentSince Jan 1, 2026 Accepting new patients
Geode Health of Texas, PLLC CurrentSince Nov 10, 2025 Accepting new patients
Post Acute Specialists of Texas PA Psychiatric/Mental Health CurrentSince May 20, 2024 Accepting new patients
North Texas Behavioral Health Authority PastSince Apr 24, 2022 Accepting new patients

Locations

2911 Medical Arts St
Ste 10
Austin, TX 78705
Phone (512) 474-5551

11882 Greenville Ave
Ste B101
Dallas, TX 75243
Phone (469) 613-3011

4215 Gannon Ln
Dallas, TX 75237
Phone (972) 283-9090

8111 Lyndon B Johnson Fwy
Ste 900
Dallas, TX 75251
Phone (214) 366-9407

108 W Grove St
Kaufman, TX 75142
Phone (214) 366-9407

Interoperability endpoints

  • Direct secure messaging: tbowe@landmarkhealth-direct.org
  • Direct secure messaging: tbowe43806@direct.phhs.org
  • Direct secure messaging: thernessia.bowe.1@25899.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 44

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1548374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1730643511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4249 OAK ARBOR DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752333609",
            "telephone_number": "214-724-8499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6363 N STATE HIGHWAY 161 STE 100",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750382239",
            "telephone_number": "469-200-3272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5200 Harry Hines Blvd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752357709",
            "country_code": "US",
            "telephone_number": "469-419-0585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWE",
        "first_name": "THERNESSIA",
        "middle_name": "LASHON",
        "name_prefix": "Ms.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-25",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP140029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.