Active NPI
Nicole L Lowe, APNP
- Nurse Practitioner
- Green Bay, WI
National Provider Identifier
1003331125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 7863
- Practice address
- 2253 W Mason St
Green Bay, WI 54303-4706 - Phone
- (920) 327-7300
- Fax
- (920) 327-7348
- NPI assigned
- Aug 9, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 7863 | WI | Primary |
Addresses
Primary practice location
2253 W Mason St
Green Bay, WI 54303-4706
Mailing address
2253 W Mason St
Green Bay, WI 54303-4706
Phone (920) 327-7300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32497100 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582156800000",
"number": "1003331125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2253 W MASON ST",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543034706",
"telephone_number": "920-327-7300",
"fax_number": "920-327-7348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2253 W MASON ST",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543034706",
"telephone_number": "920-327-7300",
"fax_number": "920-327-7348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOWE",
"first_name": "NICOLE",
"middle_name": "L",
"credential": "APNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-09",
"last_updated": "2020-02-20",
"certification_date": "2020-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "7863",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "32497100",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.