BOWIE STATE UNIVERSITY
NPI 1154888048
Nurse Practitioner - Adult Health in Bowie, MD
NPI Status: Active since February 27, 2019
Contact Information
14000 JERICHO PARK ROAD
HENRY WISE WELLNESS CENTER, CMRC, LOWER LEVEL
BOWIE, MD
ZIP 20715
Phone: (301) 860-4170
Fax: (601) 860-4179
- Organization
- Nurse Practitioner
- Adult Health
- CLIA Number: 21D1045748
- CLIA Cert. Type: School/Student Health Service
- CLIA Exp. Date: 12-04-2026
About BOWIE STATE UNIVERSITY
This page provides the complete NPI Profile along with additional information for Bowie State University, a provider established in Bowie, Maryland operating as a Nurse Practitioner, focusing in adult health . The healthcare provider is registered in the NPI registry with number 1154888048 assigned on February 2019. The practitioner's primary taxonomy code is 363LA2200X. The provider is registered as an organization and their NPI record was last updated 7 years ago. Bowie State University operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Artie Lee Travis Ed.d. (Vice President Student Affairs)
- NPI
- 1154888048
- Provider Name
- BOWIE STATE UNIVERSITY
- Entity Type
- Organization
- Location Address
- 14000 JERICHO PARK ROAD HENRY WISE WELLNESS CENTER, CMRC, LOWER LEVEL BOWIE, MD 20715
- Location Phone
- (301) 860-4170
- Location Fax
- (601) 860-4179
- Mailing Address
- 14000 JERICHO PARK ROAD HENRY WISE WELLNESS CENTER, CMRC, LOWER LEVEL BOWIE, MD 20715
- Mailing Phone
- (301) 860-4170
- Mailing Fax
- (601) 860-4179
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 02-27-2019
- Last Update Date
- 02-27-2019
- Code Navigator
A nurse practitioner (NP) like Bowie State University is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Adult Health
- Taxonomy Code
- 363LA2200X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 202K00000X | Allopathic & Osteopathic Physicians | Phlebology | |
| 2 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 3 | 363LX0001X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 21D1045748
- Facility Type
- School/Student Health Service
- Certificate Effective Date
- December 05, 2024
- Certificate Expiration Date
- December 04, 2026
- Laboratory Director
- LI LIN CHIU
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Bowie State University in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1154888048, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 62 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
BOWIE, MD 20715
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154888048, enumerated as an "organization" on February 27, 2019.
The provider is located at 14000 JERICHO PARK ROAD HENRY WISE WELLNESS CENTER, CMRC, LOWER LEVEL BOWIE, MD 20715 and the phone number is (301) 860-4170.
Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.
