MS. MARY L BOWEN (NPI# 1790744662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790744662 |
| Entity Type | Individual |
| Full Name | MS. MARY L BOWEN |
| Credential | APRN |
| Practice Address |
300 Maple St W Hampton SC 29924-3238 |
| Mailing Address |
201 Sigm Drive #100 Summerville SC 29486-7722 |
| Practice Telephone | 8039433813 |
| Practice Fax Number | 8039435971 |
| Mailing Telephone | (803) 943-3813 |
| Mailing Fax Number | 8039435971 |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2017-08-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F1833 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | NP0734 | 05 | |
| SC | RR-MEDICARE | P01173874 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403280 | Mary Ann Bowen | Home Health Aide | 1516 E Tropicana Ave, Las Vegas, NV 89119-6525 | 2020-10-08 |
| 1619500832 | Mary R Bowen | Occupational Therapy Assistant | 57 Fairview Ave, Skowhegan, ME 04976-1414 | 2020-02-17 |
| 1972984540 | Mary Elizabeth Bowen | Optometrist | 7860 Rea Rd, Charlotte, NC 28277-6502 | 2015-06-09 |
| 1700287307 | Mary Ellen Bowen | Nurse Practitioner | 3231 Sw 34th Ave, Ocala, FL 34474-8489 | 2014-09-15 |
| 1316299886 | Mary Forrest Bowen | Physical Therapy Assistant | 480 Donald St, Bedford, NH 03110-5945 | 2012-10-09 |
| 1336412048 | Mary Beth Bowen | Speech-Language Pathologist | 1615 Brown Ave, Suite 2a, Cookeville, TN 38501-1445 | 2012-02-13 |
| 1497911838 | Mary Kathryn Bowen | Pediatrics | 905 Franklin St, Waterloo, IA 50703-4407 | 2008-08-05 |
| Street Address |
300 MAPLE ST W |
| City | HAMPTON |
| State | SC |
| Zip Code | 29924-3238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033119854 | Luis R Vega | Family Medicine | 300 Maple St W, Hampton, SC 29924-3238 | 2005-07-22 |
| 1588160121 | Michelle A. Young | Physician Assistant | 300 Maple St W, Hampton, SC 29924 | 2018-04-03 |
| 1104321983 | Lucy N. Lapoint | Physician Assistant | 300 Maple St W, Hampton, SC 29924 | 2018-03-26 |
| 1427509124 | Alison O. Inglis | Physician Assistant | 300 Maple St W, Hampton, SC 29924-3238 | 2016-10-18 |
| 1710209564 | Palmetto Primary Care Physicians | Pediatrics | 300 Maple St W, Hampton, SC 29924-3238 | 2010-02-22 |
| 1902875305 | Rosita M Vega | Pediatrics | 300 Maple St W, Hampton, SC 29924-3238 | 2006-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295247526 | Brittany Bernardino | Pharmacist | 1703 Elm Street W, Hampton, SC 29924 | 2017-10-26 |
| 1497278345 | Bryce Alan Stafford | Pharmacist | 1703 Elm Street West, Hampton, SC 29924 | 2017-07-24 |
| 1427486034 | Teresa L Gooding | Pharmacist | 1703 Elm Stree West, Hampton, SC 29924 | 2013-10-16 |
| 1811241672 | Sc Department of Juvenile Justice | Community/Behavioral Health | 230 1st Street East, Suite 7, Hampton, SC 29924 | 2012-11-01 |
| 1164771994 | Katie M Krise | Pharmacist | 705 Elm Street West, Hampton, SC 29924 | 2012-09-07 |
| 1801164587 | Susan R Britt | Specialist | 707 Elm St, Hampton, SC 29924 | 2011-12-08 |
| 1821384728 | John C Wagner | Pharmacist | 1703 Elm St W, Hampton, SC 29924 | 2011-06-20 |
| 1235424367 | Stanley Joseph Sledziona Jr. | Pharmacist | 1703 Elm St. W, Hampton, SC 29924 | 2011-06-16 |
| 1194010348 | Denise A. Pinckney | Pharmacist | 1703 Elm St West, Hampton, SC 29924 | 2011-06-16 |
| 1154430049 | Francis Asbury Mills | Dentist | 202 3rd St. East, Hampton, SC 29924 | 2006-08-30 |
| Find all providers in zip 29924 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457967960 | Nicole Andrea Crawford | Nurse Practitioner | 1131 Misty Meadows Xing, Hampton, GA 30228-6191 | 2020-09-20 |
| 1255958047 | Terri Dejuana Gilliam | Nurse Practitioner | 23 Northcutt Dr, Hampton, VA 23664-1179 | 2020-06-29 |
| 1679196166 | Mutinta Matimba Hamuwele | Nurse Practitioner | 10988 Genova Ter, Hampton, GA 30228 | 2020-05-19 |
| 1225669138 | Ingrid J Ortiz | Nurse Practitioner | 4000 Coliseum Dr Ste 300, Hampton, VA 23666-5974 | 2020-01-29 |
| 1184195562 | Sharee Lashell Stowes | Nurse Practitioner | 915 Gloucester St, Hampton, VA 23661-2203 | 2018-12-11 |
| 1841767035 | Jasmine Macheryl Webb | Nurse Practitioner | 1146 Oak Hollow Ct, Hampton, GA 30228-5571 | 2018-10-26 |
| 1760966337 | Misty Spencer | Nurse Practitioner | 11850 Hastings Bridge Rd, Hampton, GA 30228-6276 | 2018-09-19 |
| 1598246878 | Emma Ledbetter | Nurse Practitioner | 1910 Elm Park Dr, Hampton, GA 30228 | 2018-08-24 |
| 1588155055 | Premium Care Health, LLC | Nurse Practitioner | 1684 Thorn Ridge Trl, Hampton, GA 30228-6129 | 2018-05-21 |
| 1588103782 | Diverse Healthcare Inc | Nurse Practitioner | 509 Wine St, Hampton, VA 23669-3162 | 2017-02-21 |
| Find all providers in HAMPTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.