Tia Nicole Bowden, ARNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

ARNP9267676 Issued in FL

Practice address

2015 Ocean Dr Ste 11
Boynton Beach, FL 33426-5131

Phone

(561) 364-8056

Fax

(561) 364-8507

NPI assigned

Sep 8, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Personal Physician Care P a

  • Internal Medicine Physician
  • Delray Beach, FL
  • NPI 1629027677
  Medicare reassignment NPD
• Dobremed,LLC

  • Primary Care Clinic/Center
  • Boynton Beach, FL
  • NPI 1457167603
  NPD (past)

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

{
    "created_epoch": "1441670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1831567908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 NE 8TH AVE",
            "address_2": "#20 D",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334835853",
            "telephone_number": "561-702-6625",
            "fax_number": "561-278-4628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 OCEAN DR STE 11",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334265131",
            "telephone_number": "561-364-8056",
            "fax_number": "561-364-8507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWDEN",
        "first_name": "TIA",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-08",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "ARNP9267676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://ecwcms-drehlqyh14.azurewebsites.net/FHIRServer/fhir/BEDBAA/",
            "affiliation": "N",
            "endpointDescription": "fhir endpoint",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "fhir endpoint",
            "address_1": "2015 Ocean Dr Ste 11",
            "city": "Boynton Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334265131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Donna Bottom
• Nicole Boullianne, AU.D.
• Alison Beatrice Bourke, MS, CCC-SLP
• Robert Gerald Bourque, MD
• Brittany Bove, ARNP
• Jim Bowen, R.PH.
• Melissa Bowers
• Celeste Bowman, MS, CAP,
• Richard Eugene Boyett
• Teresa Boylan

• Gerontology Nurse Practitioner in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Gerontology Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.