Individual provider Active NPI

Ericka B Gowan, RN

  • Home Health Registered Nurse
  • Bemus Point, NY
National Provider Identifier
1992450670
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
735521 Issued in NY
Practice address
77 S Frontage St
Bemus Point, NY 14712-9684
Phone
(843) 754-7203
NPI assigned
Feb 21, 2022
Last updated
Feb 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 735521 NY Primary

Addresses

Primary practice location

77 S Frontage St
Bemus Point, NY 14712-9684

Mailing address

77 S Frontage St
Bemus Point, NY 14712-9684
Phone (843) 754-7203

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ericka.gowan@va.gov

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
735521NYMDHome Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1645401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1992450670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 S FRONTAGE ST",
            "city": "BEMUS POINT",
            "state": "NY",
            "postal_code": "147129684",
            "telephone_number": "843-754-7203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 S FRONTAGE ST",
            "city": "BEMUS POINT",
            "state": "NY",
            "postal_code": "147129684",
            "telephone_number": "843-754-7203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOWAN",
        "first_name": "ERICKA",
        "middle_name": "B",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-21",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "735521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ericka.gowan@va.gov",
            "affiliation": "N",
            "endpointDescription": "my job",
            "address_1": "77 S Frontage St",
            "city": "Bemus Point",
            "state": "NY",
            "country_code": "US",
            "postal_code": "147129684",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bemus Point, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; 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.