Olivia Shawnea Low, LPN – Licensed Practical Nurse

Key facts

NPI: 1124883145
Entity type: Individual (NPI type 1)
Primary specialty: Licensed Practical Nurse 164W00000X
License: LP60588712 (WA)
Practice address: 1821 Leclerc Rd N Ste 1
Cusick, WA 99119-5015
Phone: (509) 447-7111
Fax: (509) 445-1152
NPI assigned: Feb 19, 2024
Sex: Female
Sole proprietor: No

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 and National Provider Directory roles.

Kalispel Indian Community of the Kalispel Reservation Washington Land Ambulance · Usk, WA · NPI 1053800417

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
LP60588712	WA	MD	Licensed Practical Nurse

Practice roles

Organization	Specialty	Status	New patients
Kalispel Indian Community of the Kalispel Reservation Washington		Past since Feb 25, 2024	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Licensed Practical Nurse	164W00000X	LP60588712	WA	Yes

Addresses

Primary practice location

1821 Leclerc Rd N Ste 1
Cusick, WA 99119-5015

Mailing address

PO Box 39
Usk, WA 99180-0039
Phone (509) 445-1147

Other providers in Cusick, WA

All providers in Cusick, WA · Licensed Practical Nurse in Washington

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.