Individual provider Active NPI

Bonnie Lee Bowman, CRNA

  • Certified Registered Nurse Anesthetist
  • Harrisburg, PA
National Provider Identifier
1992774251
Registry record updated Nov 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN573215 Issued in PA
Practice address
111 S Front Street
Harrisburg, PA 17101-2010
Phone
(717) 782-5182
Fax
(717) 782-5920
NPI assigned
Mar 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 0001153390 VA
Certified Registered Nurse Anesthetist 367500000X RN573215 PA Primary

Addresses

Primary practice location

111 S Front Street
Harrisburg, PA 17101-2010

Mailing address

118 Washington Street
Harrisburg, PA 17104-1612

Other identifiers 1

IdentifierTypeStateIssuer
010115264MedicaidVA

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)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN573215PAMDCertified Registered Nurse Anesthetist
0001153390VAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Wvuh-East Services, Inc Past Accepting new patients
Surgery Center of Central Virginia Inc. Past Accepting new patients
Souza & Associates, Inc., P.C. Past Accepting new patients
City Hospital Inc Nurse Anesthetist, Certified Registered Past Accepting new patients
Anesthesia Associates of Richmond, Inc Past Accepting new patients
Jefferson Memorial Hospital Past Accepting new patients
Eastern Panhandle Anesthesia Associates Past Accepting new patients
United Hospital Center, Inc. Past Accepting new patients
Anesthesia Care Services, PA Nurse Anesthetist, Certified Registered Past Accepting new patients
Lynchburg Anesthesia Associates Inc Past Accepting new patients
American Anesthesiology Associates of Virginia, Inc Past Accepting new patients
Nurse Anesthesia of North Carolina, PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225670400000",
    "number": "1992774251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 WASHINGTON STREET",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171041612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S FRONT STREET",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171012010",
            "telephone_number": "717-782-5182",
            "fax_number": "717-782-5920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWMAN",
        "first_name": "BONNIE",
        "middle_name": "LEE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-17",
        "last_updated": "2008-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0001153390",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN573215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010115264",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2008; 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.