Active NPI
Brianna Owen
- Women's Health Nurse Practitioner
- New Bedford, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- RN2357822
- Practice address
- 874 Purchase St
New Bedford, MA 02740-6232 - Phone
- (508) 992-6553
- NPI assigned
- Jun 14, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN2357822 | MA | |
| Women's Health Nurse Practitioner | 363LW0102X | RN2357822 | MA | Primary |
Addresses
Primary practice location
874 Purchase St
New Bedford, MA 02740-6232
Mailing address
874 Purchase St
New Bedford, MA 02740-6232
Other practice location 1
2600 Tamarack Ave Ste 200
South Windsor, CT 06074-5560
Phone (860) 646-1157
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2600 Tamarack Ave
Suite 200
South Windsor, CT 06074-5560
Phone (860) 646-1157
Hospital & facility affiliations
- Manchester Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2357822 | MA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| OBGYN Group of Eastern Connecticut, P.C. | Current | Accepting new patients |
Locations
622 Hebron Ave
Ste 104A
Glastonbury, CT 06033
Phone (860) 646-1157
2600 Tamarack Ave
#200
South Windsor, CT 06074
Phone (860) 646-1157
Interoperability endpoints
- brianna.owen.1@27673.direct.athenahealth.com
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.
-
- Obstetrics & Gynecology Physician
- South Windsor, CT
- NPI 1376756908
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Manchester, CT
- NPI 1881564664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702252800000",
"number": "1992489462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "874 PURCHASE ST",
"city": "NEW BEDFORD",
"state": "MA",
"postal_code": "027406232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "874 PURCHASE ST",
"city": "NEW BEDFORD",
"state": "MA",
"postal_code": "027406232",
"telephone_number": "508-992-6553"
}
],
"practiceLocations": [
{
"address_1": "2600 Tamarack Ave Ste 200",
"address_purpose": "LOCATION",
"city": "South Windsor",
"state": "CT",
"postal_code": "060745560",
"country_code": "US",
"telephone_number": "860-646-1157",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OWEN",
"first_name": "BRIANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-14",
"last_updated": "2023-12-11",
"certification_date": "2023-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MA",
"license": "RN2357822",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "MA",
"license": "RN2357822",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Bedford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.