Individual provider Active NPI

Jonathan Andrew Lowe, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Truckee, CA
National Provider Identifier
1114199304
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95014582 Issued in CA
Practice address
10978 Donner Pass Rd
Truckee, CA 96161-0433
Phone
(305) 821-2125
NPI assigned
Mar 27, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 081141 CT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 003960 CT
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X 95014582 CA Primary

Addresses

Primary practice location

10978 Donner Pass Rd
Truckee, CA 96161-0433

Mailing address

12121 Sierra Dr E
Truckee, CA 96161-5050
Phone (203) 215-9957

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jlowe@tfhd.com TAHOE FOREST HOSPITAL DISTRICT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081029000627 CT Practitioner - Nurse Practitioner 3173681558 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
081141CTMDAdult Psychiatric/Mental Health Registered Nurse
003960CTMDVeterinarian
95014582CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tahoe Truckee Advanced Psychiatric Nursing a Professional Corporation Psychiatric/Mental Health CurrentSince Apr 21, 2024 Accepting new patients
Bhcare, Inc. Multi-Specialty CurrentSince Jan 1, 2012 Accepting new patients

Locations

435 E Main St
Ansonia, CT 06401
Phone (203) 736-2601

14 Sycamore Way
Branford, CT 06405
Phone (203) 483-2630

127 Washington Ave
Ste 3W
North Haven, CT 06473

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/BHcare/r4/

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1114199304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12121 SIERRA DR E",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961615050",
            "telephone_number": "203-215-9957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10978 DONNER PASS RD",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961610433",
            "telephone_number": "305-821-2125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWE",
        "first_name": "JONATHAN",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-27",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "CT",
            "license": "081141",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "003960",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95014582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jlowe@tfhd.com",
            "affiliation": "Y",
            "endpointDescription": "secure work email",
            "affiliationName": "TAHOE FOREST HOSPITAL DISTRICT",
            "address_1": "10978 Donner Pass Rd",
            "city": "Truckee",
            "state": "CA",
            "country_code": "US",
            "postal_code": "961610433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Truckee, CA

Sources for this page

Verify at the official NPI Registry.