Individual provider Active NPI

Michelle Kay Jean Lowder

  • Registered Nurse
  • Puyallup, WA
National Provider Identifier
1053041723
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
61030655 Issued in WA
Practice address
12413 122ND St E
Puyallup, WA 98374-2338
Phone
(253) 737-0909
NPI assigned
Jun 14, 2022
Last updated
Jun 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 61030655 WA Primary

Addresses

Primary practice location

12413 122ND St E
Puyallup, WA 98374-2338

Mailing address

12413 122ND St E
Puyallup, WA 98374-2338
Phone (253) 737-0909

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL michellemybell721@gmail.com Other

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
61030655WAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Compassionate Nursing Services LLC Registered Nurse Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1053041723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12413 122ND ST E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983742338",
            "telephone_number": "253-737-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12413 122ND ST E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983742338",
            "telephone_number": "253-737-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWDER",
        "first_name": "MICHELLE",
        "middle_name": "KAY JEAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "61030655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "michellemybell721@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email only for business",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "no medical info exchanges electronically",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "billing/ concacts",
            "address_1": "12413 122nd St E",
            "city": "Puyallup",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983742338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.