{
  "npi": "1083165583",
  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2025-08-19",
    "enumeration_date": "2016-10-19",
    "first_name": "KEVIN",
    "last_name": "BOWDEN",
    "last_updated": "2025-08-19",
    "sex": "M",
    "sole_proprietor": "YES",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "2735 SILVER CREEK RD",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "BULLHEAD CITY",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "864427924",
      "state": "AZ",
      "telephone_number": "928-763-2273"
    },
    {
      "address_1": "2203 ROSEWOOD ST",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "TUPELO",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "388012378",
      "state": "MS",
      "telephone_number": "901-491-6201"
    }
  ],
  "taxonomies": [
    {
      "code": "367500000X",
      "desc": "Nurse Anesthetist, Certified Registered",
      "license": "D169092",
      "primary": false,
      "state": "IA",
      "taxonomy_group": ""
    },
    {
      "code": "367500000X",
      "desc": "Nurse Anesthetist, Certified Registered",
      "license": "43-557937-091",
      "primary": false,
      "state": "KS",
      "taxonomy_group": ""
    },
    {
      "code": "367500000X",
      "desc": "Nurse Anesthetist, Certified Registered",
      "license": "1057177",
      "primary": false,
      "state": "TX",
      "taxonomy_group": ""
    },
    {
      "code": "367500000X",
      "desc": "Nurse Anesthetist, Certified Registered",
      "license": "901407",
      "primary": false,
      "state": "MS",
      "taxonomy_group": ""
    },
    {
      "code": "367500000X",
      "desc": "Nurse Anesthetist, Certified Registered",
      "license": "314881",
      "primary": true,
      "state": "AZ",
      "taxonomy_group": ""
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": false,
      "status": "CLEAR",
      "matches": [],
      "totalDbRecords": 84224
    },
    "cms_pecos_eligibility": {
      "note": "Not listed in CMS Order & Referring PECOS file or institutional NPI-2"
    }
  },
  "medicare_utilization": null,
  "enrichment": {
    "plain_english_specialty": "Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Anesthetist, Certified Registered",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "43",
        "medicare_type": "Certified Registered Nurse Anesthetist (CRNA)"
      }
    ]
  }
}