Individual provider Active NPI

Rebekah Alison Bowling, APRN

  • Pediatric Nurse Practitioner
  • Little Rock, AR
National Provider Identifier
1740543347
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
A03712 Issued in AR
Practice address
1 Lile CT Ste 100
Little Rock, AR 72205-6239
Phone
(501) 202-1902
NPI assigned
Jun 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X A03712 AR Primary

Addresses

Primary practice location

1 Lile CT Ste 100
Little Rock, AR 72205-6239

Mailing address

11001 Executive Center Dr Ste 200
Little Rock, AR 72211-4393
Phone (501) 202-1902

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20140424000318 AR Practitioner - Nurse Practitioner 4284867433 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arkansas Health GroupGroup PAC ID 7911802079, 645 clinicians

Practice addresses (Care Compare)

1 Lile CT
Suite 100
Little Rock, AR 72205-6239
Phone (501) 202-1902

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A03712ARMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Arkansas for Medical Sciences CurrentSince Jan 1, 2021 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Jan 1, 2021 Accepting new patients
Conway Regional Medical Center Inc CurrentSince Dec 1, 2016 Accepting new patients
Faulkner Emergency Group, PLLC CurrentSince Jun 30, 2019 Accepting new patients
Conway Regional Medical Center Inc CurrentSince Dec 1, 2016 Accepting new patients
Arkansas Health Group CurrentSince Jan 1, 2023 Accepting new patients
Arkansas Health Group CurrentSince Jan 1, 2023 Accepting new patients

Locations

525 Western Ave
Ste 302
Conway, AR 72034
Phone (501) 328-5515

2302 College Ave
Conway, AR 72034
Phone (501) 329-3831

20 Baptist Health Dr
Heber Springs, AR 72543
Phone (501) 362-0500

4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

1 Lile Ct
Ste 100
Little Rock, AR 72205
Phone (501) 224-1859

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

Interoperability endpoints

  • Direct secure messaging: rbowling182929@direct.baptist-healthar.org

Organizations & group practices 7

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": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1740543347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11001 EXECUTIVE CENTER DR STE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114393",
            "telephone_number": "501-202-1902",
            "fax_number": "501-202-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LILE CT STE 100",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056239",
            "telephone_number": "501-202-1902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWLING",
        "first_name": "REBEKAH",
        "middle_name": "ALISON",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-19",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AR",
            "license": "A03712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.