Terra Bowen, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

420011 Issued in OH

Practice address

7175 State Route 104
MC Dermott, OH 45652-8888

Phone

(740) 858-6683

NPI assigned

Mar 8, 2018

Last updated

Jan 3, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Moving Forward Residential LLC

  • Community/Behavioral Health Agency
  • McDermott, OH
  • NPI 1811767684
  NPD
• Moving Forward Residential LLC

  • Community/Behavioral Health Agency
  • McDermott, OH
  • NPI 1871016691
  NPD (past)

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

{
    "created_epoch": "1520467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1831691591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 402",
            "city": "WHEELERSBURG",
            "state": "OH",
            "postal_code": "456940402",
            "telephone_number": "740-858-6683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7175 STATE ROUTE 104",
            "city": "MC DERMOTT",
            "state": "OH",
            "postal_code": "456528888",
            "telephone_number": "740-858-6683"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9620 CAREYS RUN POND CREEK ROAD",
            "address_purpose": "LOCATION",
            "city": "Mcdermott",
            "state": "OH",
            "postal_code": "45652",
            "country_code": "US",
            "telephone_number": "740-858-6683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "TERRA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-08",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "166331",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "420011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0498469",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyler Bennett, CMS, QMHS, CDCA
• Joni Bentley, LCDC II
• Justin Lawrence Blackburn, CDCA
• Austin Blankenship
• Brittany Joanne Bolton
• Kaitlyn Breech
• Brandi Renee Bricker
• Amanda Leann Frey Burke
• Matthew Chappelear, CMS
• Thomas Horton Crabtree Jr., ATC, LAT, LPTA

• Registered Nurse in McDermott, OH
• Providers in McDermott, OH by specialty
• Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.