KATLYN BOWMAN (NPI# 1588145270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588145270 |
Entity Type | Individual |
Full Name | KATLYN BOWMAN |
Credential | PMHNP-BC |
Practice Address |
722 15th St Nw Bemidji MN 56601-2528 |
Practice Telephone | 2187513280 |
Mailing Telephone | 2187513280 |
Enumeration Date | 2018-08-22 |
Last Update Date | 2019-02-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | R040298 | SD | Nursing Service Providers |
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
6313 | MN | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
722 15TH ST NW |
City | BEMIDJI |
State | MN |
Zip Code | 56601-2528 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255431003 | Thomas Eugene Williams | Social Worker | 722 15th St Nw, Bemidji, MN 56601 | 2006-09-22 |
1639728280 | Trinity Kylyn Bergeron | Counselor | 722 15th St Nw, Bemidji, MN 56601-2528 | 2019-09-06 |
1770099731 | Shawna Marie Burnham | Counselor | 722 15th St Nw, Bemidji, MN 56601-2528 | 2017-12-28 |
1427567601 | Sanford Health of Northern Minnesota | Clinic/Center | 722 15th St Nw, Bemidji, MN 56601-2528 | 2017-09-20 |
1750819926 | Emily Celeste Barbot | Counselor | 722 15th St Nw, Bemidji, MN 56601-2528 | 2017-05-31 |
1730616962 | Marlin George Farley | Counselor | 722 15th St Nw, Bemidji, MN 56601-2528 | 2017-05-18 |
1114454345 | Rylie Dian Helweg | Counselor | 722 15th St Nw, Bemidji, MN 56601-2528 | 2017-05-18 |
1033646260 | Christopher Lee Slough | Counselor | 722 15th St Nw, Bemidji, MN 56601-2528 | 2017-05-18 |
1992239628 | Angela Rae Hiebsch | Counselor | 722 15th St Nw, Bemidji, MN 56601-2528 | 2017-04-19 |
1114461258 | Anna Chock | Counselor | 722 15th St Nw, Bemidji, MN 56601-2528 | 2016-12-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336772425 | Northern Minnesota Addiction Wellness Center | Substance Abuse Rehabilitation Facility | 4851 Stacy Ann Dr Nw, Bemidji, MN 56601 | 2020-02-17 |
1366093841 | Vickie Lynn Matthews | Technician | 1018 Miles Ave Se, Bemidji, MN 56601 | 2019-09-25 |
1518443530 | Lindsey Marie Whiting | Registered Nurse | 1300 Anne St, Bemidji, MN 56601 | 2018-07-12 |
1801257662 | Meghan Zigrida Paquette | Registered Nurse | 6055 161st Street Nw, Cass Lake, MN 56601 | 2016-03-08 |
1144686106 | Northwest Indian Oic | Home Health | 1819 Bemidji Ave N Ste 1, Bemidji, MN 56601 | 2016-01-06 |
1831560424 | Laura Hansen, Msw, Licsw Counseling Services, Inc. | Social Worker | 403 4th Street Ne, Suite 110, Bemidji, MN 56601 | 2015-10-08 |
1679949028 | Grand St. Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 2312 Bemidji Ave North, Bemidji, MN 56601 | 2015-08-19 |
1255717617 | Mary S. Salter, Md Psc | Internal Medicine | 514 Beltrami Ave Nw Suite 102, Bemidji, MN 56601 | 2015-08-07 |
1225420615 | Cristin Evans | Counselor | 403 4th Street, Suite 300, Bemidji, MN 56601 | 2015-02-23 |
1619367919 | Angela Krom Fournier | Psychologist | 16150 Golden Eagle Court Nw, Eagle Vista Equine Center Inc., Bemidji, MN 56601 | 2015-01-26 |
Find all providers in zip 56601 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184974552 | Andrea Olivia Craig | Nurse Practitioner | 800 Bemidji Ave N Ste 200, Bemidji, MN 56601-3056 | 2012-09-13 |
1053921080 | Julie Beevor | Nurse Practitioner | 1526 30th St Nw, Bemidji, MN 56601-4140 | 2020-08-04 |
1639797723 | Northstar Mind Mechanix LLC | Nurse Practitioner | 1526 30th St Nw, Bemidji, MN 56601-4140 | 2020-07-06 |
1609421890 | Christa Vaughan Paramore | Nurse Practitioner | 1705 Anne St Nw, Bemidji, MN 56601-6151 | 2019-08-05 |
1972997831 | Anthony Kramer | Nurse Practitioner | 1526 30th St Nw, Bemidji, MN 56601-4140 | 2015-03-27 |
1720333917 | Joan M Schwinghammer | Nurse Practitioner | 722 15th St Nw, Bemidji, MN 56601-2528 | 2012-07-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285234435 | Hawa Warsame Ali | Nurse Practitioner | 2650 Portland Ave, Minneapolis, MN 55407-1011 | 2020-10-27 |
1962009548 | Emily Ongaga | Nurse Practitioner | 43 10 Parkview Circle, Anoka, MN 55303 | 2020-10-06 |
1811504038 | Rita Jane Giglio | Nurse Practitioner | 201 Stade Ln, Fairmont, MN 56031-3227 | 2020-09-30 |
1568077725 | Linda Mongare | Nurse Practitioner | 3659 Tower Pond Dr, Anoka, MN 55303-8302 | 2020-09-14 |
1366056806 | Associates In Mental Health and Addiction Services. P.l.l.c | Nurse Practitioner | 166 W 3rd St Ste 202, Winona, MN 55987-6591 | 2020-09-02 |
1891308813 | Chelsey Paulson | Nurse Practitioner | 228 Krays Mill Rd, Cold Spring, MN 56320-4563 | 2020-08-28 |
1417560681 | Amy Engle | Nurse Practitioner | 1125 Se 8th Street, Willmar, MN 56201 | 2020-08-28 |
1609488964 | Heather Mantsch | Nurse Practitioner | 1900 Silver Lake Rd Nw Ste 100, New Brighton, MN 55112-1786 | 2020-08-18 |
1326659210 | Monsurat Oluwa-okougbo | Nurse Practitioner | 1565 11th Ave, Newport, MN 55055-1650 | 2020-08-13 |
1629687124 | Justin Robert Wirth | Nurse Practitioner | 4801 Veterans Dr # 111, Saint Cloud, MN 56303-2015 | 2020-07-30 |
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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.