Gina Bawden, ARNP

Key facts

NPI

1942239769

Entity type

Individual (NPI type 1)

Primary specialty

Family Nurse Practitioner 363LF0000X

License

53-46128-082 (KS)

Practice address

7301 Mission Rd
PV #3 Suite 350
Prairie Village, KS 66208-3006

Phone

(913) 660-8424

NPI assigned

Jul 2, 2006

Sex

Female

Sole proprietor

No

Organizations & group practices 1

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.

• Family Health Medical Group of Overland Park, LLC Family Medicine Physician · Overland Park, KS · NPI 1497061030
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 10, 2013.

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357776000000",
    "number": "1942239769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 MISSION RD",
            "address_2": "PV #3 SUITE 350",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662083006",
            "telephone_number": "913-588-6381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 MISSION RD",
            "address_2": "PV #3 SUITE 350",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662083006",
            "telephone_number": "913-660-8424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAWDEN",
        "first_name": "GINA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-02",
        "last_updated": "2013-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-46128-082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARNP LICENSE",
            "identifier": "53-46128-082",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN/ARNP LICENSE",
            "identifier": "14-102816-082",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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All providers in Prairie Village, KS · Family Nurse Practitioner in Kansas