Individual provider Active NPI

Amby Bowen Bowen, RN GERO-BC CCM

  • Registered Nurse
  • University Place, WA
National Provider Identifier
1992217509
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN60051233 Issued in WA
Practice address
3318 Bridgeport Way W Ste D-4
University Place, WA 98466-4598
Phone
(253) 722-3430
Fax
(833) 224-3844
NPI assigned
Nov 4, 2017
Last updated
Jul 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 4207529 WA
Gerontology Registered Nurse 163WG0600X 2026037303 WA
Registered Nurse 163W00000X RN60051233 WA Primary

Addresses

Primary practice location

3318 Bridgeport Way W Ste D-4
University Place, WA 98466-4598

Mailing address

3800 Bridgeport Way W
Box a-170
University Place, WA 98466-7521
Phone (253) 722-3430

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN60051233WAMDRegistered Nurse
4207529WAMDCase Management Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1509753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1992217509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 BRIDGEPORT WAY W",
            "address_2": "BOX A-170",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984667521",
            "telephone_number": "253-722-3430",
            "fax_number": "833-224-3844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3318 BRIDGEPORT WAY W STE D-4",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664598",
            "telephone_number": "253-722-3430",
            "fax_number": "833-224-3844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWEN",
        "first_name": "AMBY",
        "middle_name": "BOWEN",
        "credential": "RN GERO-BC CCM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-04",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "WA",
            "license": "4207529",
            "primary": false
        },
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "WA",
            "license": "2026037303",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60051233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in University Place, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.