Individual provider Active NPI

Jane Dahle Bowen, CNM, APRN-BC

  • Midwife
  • Salt Lake City, UT
National Provider Identifier
1881299048
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
9016215-4402 Issued in UT
Practice address
2155 E Terra Linda Dr
Salt Lake City, UT 84124-2762
Phone
(801) 647-2630
NPI assigned
Dec 3, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MidwifeGroup: 193200000X MULTI-SPECIALTY GROUP 176B00000X 9016215-4402 UT Primary

Addresses

Primary practice location

2155 E Terra Linda Dr
Salt Lake City, UT 84124-2762

Mailing address

2155 E Terra Linda Dr
Salt Lake City, UT 84124-2762
Phone (801) 647-2630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231117000988 UT Practitioner - Certified Nurse Midwife (CNM) 4284081951 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

9450 S 1300
Sandy, UT 84094-5555
Phone (801) 501-6500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services, Inc. Multi-Specialty CurrentSince Sep 5, 2023 Accepting new patients
Ihc Health Services Inc CurrentSince Sep 5, 2023 Accepting new patients
Ihc Health Services Inc Multi-Specialty Current Accepting new patients
Ihc Health Services Inc Past Accepting new patients

Locations

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

3723 W 12600 S
Ste 360
Riverton, UT 84065
Phone (801) 205-4700

9450 S 1300 E
Ste 210
Sandy, UT 84094
Phone (801) 501-4305

9450 S 1300 E
Sandy, UT 84094
Phone (801) 501-2133

Organizations & group practices 4

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": "1606953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1881299048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 E TERRA LINDA DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841242762",
            "telephone_number": "801-647-2630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 E TERRA LINDA DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841242762",
            "telephone_number": "801-647-2630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "JANE",
        "middle_name": "DAHLE",
        "credential": "CNM, APRN-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-03",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Midwife",
            "state": "UT",
            "license": "9016215-4402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.