Individual provider Active NPI

Whitney Nicole Bowen, FNP

  • Family Nurse Practitioner
  • Spokane, WA
National Provider Identifier
1972142685
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0000026427 Issued in TN
Practice address
10408 W Sunset Hwy Ste 3
Spokane, WA 99224-6002
Phone
(509) 418-2799
Fax
(883) 983-2962
NPI assigned
Dec 27, 2019
Last updated
May 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0000026427 TN Primary

Addresses

Primary practice location

10408 W Sunset Hwy Ste 3
Spokane, WA 99224-6002

Mailing address

206 W Riverside Ave Apt 602
Spokane, WA 99201-0176
Phone (615) 670-0619

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20200307000041 TN Practitioner - Nurse Practitioner 3476981317 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
0000026427TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Jan 7, 2021 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jan 7, 2021 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Dec 1, 2025 Accepting new patients
The Kids Clinic, PLLC Past Accepting new patients
Airway Pediatrics, Professional Limited Liability Company Past Accepting new patients

Locations

441 S Illinois Ave
Oak Ridge, TN 37830
Phone (865) 685-0767

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1577404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1972142685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 W RIVERSIDE AVE APT 602",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992010176",
            "telephone_number": "615-670-0619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10408 W SUNSET HWY STE 3",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992246002",
            "telephone_number": "509-418-2799",
            "fax_number": "883-983-2962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "WHITNEY",
        "middle_name": "NICOLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-27",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "0000026427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.