Active NPI
Mary Ann Bowen
- Home Health Aide
- Las Vegas, NV
National Provider Identifier
1902403280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 141850733
- Practice address
- 1516 E Tropicana Ave
Las Vegas, NV 89119-6525 - Phone
- (725) 214-7776
- Fax
- (725) 214-7768
- NPI assigned
- Oct 8, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 141850733 | TN | Primary |
Addresses
Primary practice location
1516 E Tropicana Ave
Las Vegas, NV 89119-6525
Mailing address
1516 E Tropicana Ave
Las Vegas, NV 89119-6525
Phone (725) 214-7776
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
| License | State | Type | Specialty |
|---|---|---|---|
| 141850733 | TN | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602115200000",
"number": "1902403280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1516 E TROPICANA AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891196525",
"telephone_number": "725-214-7776",
"fax_number": "725-214-7768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1516 E TROPICANA AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891196525",
"telephone_number": "725-214-7776",
"fax_number": "725-214-7768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWEN",
"first_name": "MARY",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-08",
"last_updated": "2020-10-08",
"certification_date": "2020-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "TN",
"license": "141850733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.