MS. BRENDA MARIE BOWIE (NPI# 1073579678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073579678 |
| Entity Type | Individual |
| Full Name | MS. BRENDA MARIE BOWIE |
| Other Name | MRS. BRENDA MARIE SPOFFORD |
| Credential | NP |
| Practice Address |
1800 Craig-klawock Highway Craig AK 99921 |
| Mailing Address |
1115 Se 164th Ave Dept 358 Vancouver WA 98683-8004 |
| Practice Telephone | 9078263257 |
| Mailing Telephone | 3607291462 |
| Enumeration Date | 2006-04-22 |
| Last Update Date | 2018-02-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
1163 | AK | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
198446 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0392791 | 05 |
| Street Address |
1800 CRAIG-KLAWOCK HIGHWAY |
| City | CRAIG |
| State | AK |
| Zip Code | 99921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568643831 | Dana Sue Mathis | Nurse Practitioner | 1800 Craig-klawock Highway, Craig, AK 99921 | 2007-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801426515 | Leigh Ann White | Social Worker | 1 800 C-k Hwy, Suite #241, Craig, AK 99921 | 2020-01-22 |
| 1154887602 | Gayle Virginia Townsend | Counselor | 333 Cold Storage Dr., Craig, AK 99921 | 2019-02-20 |
| 1811366503 | Barbara Skan | Counselor | 1305 Craig Klawock Hwy, Craig, AK 99921 | 2015-09-23 |
| 1265821359 | Southeast Alaska Regional Health Consortium | Clinic/Center | 1305 Craig-klawock Hwy, Craig, AK 99921 | 2015-01-13 |
| 1629418272 | Scott Brookshire | Dentist | 407 Spruce St., Craig, AK 99921 | 2013-06-27 |
| 1588931877 | Jeffries George Nickerson | Emergency Medical Technician, Intermediate | 7300 Klawock-hollis, Klawock, AK 99921 | 2011-11-30 |
| 1578794863 | City of Craig, Inc. | Family Medicine | 506 3rd St., Craig, AK 99921 | 2009-08-04 |
| 1871732677 | Julie Lynch Mcdonald | Pharmacist | 333 Cold Storage Road, Craig, AK 99921 | 2009-02-18 |
| 1861686966 | Michael Alexander Melendrez Sr. | Chiropractor | 1908 Hamilton Dr, Craig, AK 99921 | 2007-08-31 |
| 1538388905 | Beverlee Joesten-tyner | Case Manager/Care Coordinator | 1 Easy St., Craig, AK 99921 | 2007-04-24 |
| Find all providers in zip 99921 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639445257 | Kimberley Jean Paden-harris | Nurse Practitioner | 595 Russell St, Craig, CO 81625-1920 | 2012-03-28 |
| 1568643831 | Dana Sue Mathis | Nurse Practitioner | 1800 Craig-klawock Highway, Craig, AK 99921 | 2007-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355390 | Delia M. Reyes | Nurse Practitioner | 705 2nd St., Cordova, AK 99574 | 2020-10-29 |
| 1396342895 | Stacey Reynolds Dahl | Nurse Practitioner | 103 Fram Treet, Petersburg, AK 99833-0589 | 2020-10-07 |
| 1912514647 | Kaveri Bharti | Nurse Practitioner | 2900 Morgan Loop, Anchorage, AK 99516-1427 | 2020-09-27 |
| 1831709070 | China Kay Larson | Nurse Practitioner | 9402 Endicott St, Anchorage, AK 99502-1342 | 2020-08-03 |
| 1144847021 | Stephanie Anne Olah Packard | Nurse Practitioner | 6929 Crawford St, Anchorage, AK 99502-2728 | 2020-06-26 |
| 1134743370 | Matthew G Horgan | Nurse Practitioner | 700 Chief Eddie Hoffman Hwy, Bethel, AK 99559-0827 | 2020-06-03 |
| 1417585902 | Shelley Wantaja | Nurse Practitioner | 689 E Eklutna St, Palmer, AK 99645-6116 | 2020-03-30 |
| 1437787363 | Naomi Tonje Johnson | Nurse Practitioner | 5428 E Rebecca Nicole St Unit C, Wasilla, AK 99654-0002 | 2020-03-27 |
| 1235789322 | Halley Marie Fondren | Nurse Practitioner | Page Street, Soldotna, AK 99669-2634 | 2019-09-19 |
| 1710535380 | Peter Harvey | Nurse Practitioner | 755 Knightsbridge Rd, Fairbanks, AK 99709-2477 | 2019-08-27 |
| Find all providers with the same taxonomy | ||||
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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.