Individual provider Active NPI

Thalia Rei Bowie, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Wellesley, MA
National Provider Identifier
1821783663
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2353183 Issued in MA
Practice address
80 Walnut St
Wellesley, MA 02481-2102
Phone
(617) 564-0123
NPI assigned
Apr 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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 RN2353183 MA Primary
Registered Nurse 163W00000X RN2353183 MA

Addresses

Primary practice location

80 Walnut St
Wellesley, MA 02481-2102

Mailing address

6 Ross Rd
Lexington, MA 02421-6620
Phone (781) 698-9687

Other practice location 1

940 Belmont St Bldg 4
Brockton, MA 02301-5568
Phone (774) 826-1842

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
RN2353183MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Newton Pediatrics LLC PastSince Oct 13, 2024 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": "1680825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1821783663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 ROSS RD",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024216620",
            "telephone_number": "781-698-9687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 WALNUT ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024812102",
            "telephone_number": "617-564-0123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "940 Belmont St Bldg 4",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "023015568",
            "country_code": "US",
            "telephone_number": "774-826-1842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWIE",
        "first_name": "THALIA",
        "middle_name": "REI",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-07",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2353183",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2353183",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellesley, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.