Active NPI
Marian Alice Lowther, SLP
- Speech-Language Pathologist
- Tampa, FL
National Provider Identifier
1043834351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA4762
- Practice address
- 4202 E Fowler Ave
Tampa, FL 33620-8000 - Phone
- (813) 974-2201
- Fax
- (813) 974-2812
- NPI assigned
- Jun 2, 2020
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA4762 | FL | Primary |
Addresses
Primary practice location
4202 E Fowler Ave
Tampa, FL 33620-8000
Mailing address
PO Box 917770
Orlando, FL 32891-0001
Phone (813) 974-2201
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 106651500 | Medicaid | FL |
Other names 1
- Marian Alice Vanderland
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mlowther172437@direct.tgh.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA4762 | FL | MD | Speech-Language Pathologist |
Interoperability endpoints
- mlowther172437@direct.tgh.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605139200000",
"number": "1043834351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 917770",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328910001",
"telephone_number": "813-974-2201",
"fax_number": "813-974-2812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4202 E FOWLER AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336208000",
"telephone_number": "813-974-2201",
"fax_number": "813-974-2812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOWTHER",
"first_name": "MARIAN",
"middle_name": "ALICE",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-02",
"last_updated": "2020-11-12",
"certification_date": "2020-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA4762",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "106651500",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mlowther172437@direct.tgh.org",
"affiliation": "N",
"address_1": "4202 E Fowler Ave",
"city": "Tampa",
"state": "FL",
"country_code": "US",
"postal_code": "336208000",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "MARIAN",
"last_name": "VANDERLAND",
"middle_name": "ALICE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.