Kirsten Bowie, PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

R218842 Issued in MD

Practice address

1415 Wesley Dr
Salisbury, MD 21801-7130

Phone

(410) 912-7000

NPI assigned

Apr 21, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Tidalhealth Primary Care, LLC

  • Family Medicine Physician
  • Salisbury, MD
  • NPI 1104453208
  Medicare reassignment NPD

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

{
    "created_epoch": "1682035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1992492755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 WESLEY DR",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218017130",
            "telephone_number": "410-912-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 WESLEY DR",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218017130",
            "telephone_number": "410-912-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWIE",
        "first_name": "KIRSTEN",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-21",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MD",
            "license": "R218842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Charles Bounds, M.D.
• Charles A Bowden, D.C.
• Sarah Jackson Bowden, DNP CRNP FNP-C
• Glen Lawrence Bowers, DDS
• Margaret Bowers, PTA
• Rachel Boyce
• Savannah Bozman, LMSW
• Nicole Bradford-Robinson
• Ramona Bradley, AGPCNP-BC
• Gwyneth Lynnette Bradshaw, RD

• Pediatric Nurse Practitioner in Salisbury, MD
• Providers in Salisbury, MD by specialty
• Pediatric Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.