Olivia Shawnea Low, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LP60588712 Issued in 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

Last updated

Feb 19, 2024By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kalispel Indian Community of the Kalispel Reservation Washington

  • Land Ambulance
  • Usk, WA
  • NPI 1053800417
  NPD (past)

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

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1124883145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 39",
            "city": "USK",
            "state": "WA",
            "postal_code": "991800039",
            "telephone_number": "509-445-1147",
            "fax_number": "509-445-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 LECLERC RD N STE 1",
            "city": "CUSICK",
            "state": "WA",
            "postal_code": "991195015",
            "telephone_number": "509-447-7111",
            "fax_number": "509-445-1152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOW",
        "first_name": "OLIVIA",
        "middle_name": "SHAWNEA",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WA",
            "license": "LP60588712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Marie Hiebert, MSW
• Jaime Hopoi, DPT
• Kalispel Indian Community of the Kalispel Reservation Washington
• Kalispel Indian Community of the Kalispel Reservation Washington (Camas Center Clinic)
• Kalispel Tribe of Indians (Camas Center Dental Clinic)
• Beth McQuinn, ND
• Jalee Palmer, RN
• Pend Oreille Fire 2
• Randy L Lindsey PT at C Inc PS Colville Physical Therapy (Tiger Physical Therapy)
• Rosanna Grace Robison, LMP

• Licensed Practical Nurse in Cusick, WA
• Providers in Cusick, WA by specialty
• Licensed Practical Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; 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.