Organization Active NPI

Bowles Wellness Wound Care LLC

  • Family Nurse Practitioner
  • New Caney, TX
National Provider Identifier
1902622327
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
BOWLES WELLNESS WOUND CARE LLC
Practice address
23315 Johnson Rd
New Caney, TX 77357-7561
Phone
(832) 723-0420
Fax
(832) 201-7590
NPI assigned
Dec 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Authorized official

Name
Leshequa Bowles, FNP-C
Title
Owner
Phone
(832) 723-0420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

23315 Johnson Rd
New Caney, TX 77357-7561

Mailing address

23315 Johnson Rd
New Caney, TX 77357-7561

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20241221000022 TX Part B Supplier - Clinic/Group Practice 5991232464 Receives reassigned benefits from 1 practitioner
Practice locations: New Caney, TX
O20250211004019 LA Part B Supplier - Clinic/Group Practice 5991232464 Receives reassigned benefits from 1 practitioner
Practice locations: New Iberia, LA

National Provider Directory

National Provider Directory

Locations

1803 Jane St
New Iberia, LA 70563
Phone (337) 365-2466

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1733097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733097600000",
    "number": "1902622327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23315 JOHNSON RD",
            "city": "NEW CANEY",
            "state": "TX",
            "postal_code": "773577561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23315 JOHNSON RD",
            "city": "NEW CANEY",
            "state": "TX",
            "postal_code": "773577561",
            "telephone_number": "832-723-0420",
            "fax_number": "832-201-7590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOWLES WELLNESS WOUND CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-02",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A",
        "authorized_official_last_name": "BOWLES",
        "authorized_official_first_name": "LESHEQUA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-723-0420",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Caney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.