Active NPI
Holly Marie Lowry, MA
- Phlebotomy Technician
- Fort Wayne, IN
National Provider Identifier
1124766217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- License
- B6H8B6K4
- Practice address
- 4639 Reed Rd
Fort Wayne, IN 46835-3543 - Phone
- (260) 797-6421
- NPI assigned
- May 26, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Phlebotomy Technician | 246RP1900X | B6H8B6K4 | Primary |
Addresses
Primary practice location
4639 Reed Rd
Fort Wayne, IN 46835-3543
Mailing address
4639 Reed Rd
Fort Wayne, IN 46835-3543
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B6H8B6K4 | Medicaid | IN |
Other names 1
- Holly Marie Lowry
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Hlowryma@gmail.com |
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
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653523200000",
"number": "1124766217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4639 REED RD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468353543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4639 REED RD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468353543",
"telephone_number": "260-797-6421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOWRY",
"first_name": "HOLLY",
"middle_name": "MARIE",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-26",
"last_updated": "2022-05-26",
"certification_date": "2022-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Technician, Pathology, Phlebotomy",
"state": null,
"license": "B6H8B6K4",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "B6H8B6K4",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Hlowryma@gmail.com",
"affiliation": "N",
"address_1": "4639 Reed Rd",
"city": "Fort Wayne",
"state": "IN",
"country_code": "US",
"postal_code": "468353543",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "HOLLY",
"last_name": "LOWRY",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.