Teirraha Channel Lowe

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

5012909 Issued in NC

Practice address

113 Scenic Outlet LN Ste 2
Mount Airy, NC 27030-9978

Phone

(336) 352-4900

Fax

(336) 352-4901

NPI assigned

Feb 25, 2020

Last updated

Jun 22, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16817/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
• Direct secure messaging: teirrahalowe@cmm-nc.direct.office.nextgen.com

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.

• Challie Minton MD

  • Family Medicine Physician
  • Mount Airy, NC
  • NPI 1790298024
  Medicare reassignment NPD
• Challie A Minton, MD

  • Family Medicine Physician
  • Mount Airy, NC
  • NPI 1831392174
  Medicare reassignment

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

{
    "created_epoch": "1582588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592784000000",
    "number": "1124652433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 SCENIC OUTLET LN STE 2",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270309978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 SCENIC OUTLET LN STE 2",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270309978",
            "telephone_number": "336-352-4900",
            "fax_number": "336-352-4901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWE",
        "first_name": "TEIRRAHA",
        "middle_name": "CHANNEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-25",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "5012909",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "5012909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCBON",
            "identifier": "5012909",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jose R Lopez, M.D.
• Lovell Medical Supply Inc (AeroCare)
• Betty Lovell
• Nicole Grey Lovill
• Mary Lowe, RN
• Luz E Estrada DDS PLLC III (Mt Airy Dental Studio)
• Kirstin Robinson Lynch, DPT
• Evan Baird Magee, LAC
• Kendra Magee
• Majure Skin Care & Wellness Center, PA

• Pediatric Nurse Practitioner in Mount Airy, NC
• Providers in Mount Airy, NC by specialty
• Pediatric Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.

Verify at the official NPI Registry.