Individual provider Active NPI

Christina Bowman

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1922740802
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11017703 Issued in FL
Practice address
11043 Crystal Springs Rd
Jacksonville, FL 32221-4105
Phone
(904) 427-8550
NPI assigned
Apr 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 11017703 FL
Family Nurse Practitioner 363LF0000X 11017703 FL Primary

Addresses

Primary practice location

11043 Crystal Springs Rd
Jacksonville, FL 32221-4105

Mailing address

1825 Lochamy LN
Saint Johns, FL 32259-5479

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220517002698 FL Practitioner - Nurse Practitioner 5698152411 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11017703FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Apr 17, 2022 Accepting new patients
Adventhealth Primary Care Network Inc Family CurrentSince Nov 1, 2023 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince May 9, 2022 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince May 9, 2022 Accepting new patients
University of Florida Jacksonville Physicians Inc Current Accepting new patients

Locations

661 E Altamonte Dr
Ste 115
Altamonte Springs, FL 32701
Phone (407) 831-4040

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

11043 Crystal Springs Rd
Jacksonville, FL 32221
Phone (904) 427-8550

11043 Crystal Springs Rd
Ste 14
Jacksonville, FL 32221
Phone (904) 427-8550

120 Cypress Edge Dr
Ste 210
Palm Coast, FL 32164
Phone (386) 445-4750

120 Cypress Edge Dr
Ste 102
Palm Coast, FL 32164
Phone (386) 586-4280

Interoperability endpoints

  • Direct secure messaging: cbowman702800@adventhealth.direct-ci.com

Organizations & group practices 5

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": "1649635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1922740802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 LOCHAMY LN",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322595479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11043 CRYSTAL SPRINGS RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322214105",
            "telephone_number": "904-427-8550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "CHRISTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-11",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "11017703",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11017703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.