Individual provider Active NPI

Kathleen Ryan Lowry, L.AC.DIPL.AC(NCCAOM)

  • Acupuncturist
  • Redondo Beach, CA
National Provider Identifier
1104081843
Registry record updated Oct 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC3405 Issued in CA
Practice address
101 N Pacific Coast Hwy
Suite 102
Redondo Beach, CA 90277-3149
Phone
(310) 379-0559
Fax
(310) 379-9678
NPI assigned
Jul 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC3405 CA Primary

Addresses

Primary practice location

101 N Pacific Coast Hwy
Suite 102
Redondo Beach, CA 90277-3149

Mailing address

101 N Pacific Coast Hwy
Suite 102
Redondo Beach, CA 90277-3149
Phone (310) 379-0559

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
AC3405CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476748800000",
    "number": "1104081843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N PACIFIC COAST HWY",
            "address_2": "SUITE 102",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902773149",
            "telephone_number": "310-379-0559",
            "fax_number": "310-379-9678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N PACIFIC COAST HWY",
            "address_2": "SUITE 102",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902773149",
            "telephone_number": "310-379-0559",
            "fax_number": "310-379-9678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWRY",
        "first_name": "KATHLEEN",
        "middle_name": "RYAN",
        "credential": "L.AC.DIPL.AC(NCCAOM)",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-22",
        "last_updated": "2016-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC3405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; 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.