Active NPI
Johnna Marie Bowen
- Home Health Registered Nurse
- Benton, ME
National Provider Identifier
1740510171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- RO21870
- Practice address
- 1604 Benton Ave
Benton, ME 04901-3327 - Phone
- (207) 453-4708
- Fax
- (207) 453-6250
- NPI assigned
- Jan 7, 2010
- Last updated
- Jan 7, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | RO21870 | ME | Primary |
Addresses
Primary practice location
1604 Benton Ave
Benton, ME 04901-3327
Mailing address
1604 Benton Ave
Benton, ME 04901-3327
Phone (207) 453-4708
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 |
|---|---|---|---|
| RO21870 | ME | MD | Home Health Registered Nurse |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262822400000",
"number": "1740510171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1604 BENTON AVE",
"city": "BENTON",
"state": "ME",
"postal_code": "049013327",
"telephone_number": "207-453-4708",
"fax_number": "207-453-6250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1604 BENTON AVE",
"city": "BENTON",
"state": "ME",
"postal_code": "049013327",
"telephone_number": "207-453-4708",
"fax_number": "207-453-6250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWEN",
"first_name": "JOHNNA",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-07",
"last_updated": "2010-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "ME",
"license": "RO21870",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Benton, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.