Active NPI
Kenneth W Lowrance, MS, RN, CS, FNP-C
- Family Nurse Practitioner
- Clifton, TX
National Provider Identifier
1144293879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 241202
- Practice address
- 201 S Avenue T
Clifton, TX 76634-1855 - Phone
- (254) 675-8621
- Fax
- (254) 675-2254
- NPI assigned
- Feb 13, 2006
- Last updated
- Mar 7, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 241202 | TX | Primary |
Addresses
Primary practice location
201 S Avenue T
Clifton, TX 76634-1855
Mailing address
PO Box 72
Clifton, TX 76634-0072
Phone (254) 675-8621
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10129831 | Other | TX | DPS |
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)
- Enrolled
- Credentials
- Master of Science, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 241202 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Goodall-Witcher Hospital Authority | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Home Health Agency
- Clifton, TX
- NPI 1598709578
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1144293879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 72",
"city": "CLIFTON",
"state": "TX",
"postal_code": "766340072",
"telephone_number": "254-675-8621",
"fax_number": "254-675-2254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 S AVENUE T",
"city": "CLIFTON",
"state": "TX",
"postal_code": "766341855",
"telephone_number": "254-675-8621",
"fax_number": "254-675-2254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOWRANCE",
"first_name": "KENNETH",
"middle_name": "W",
"name_prefix": "Mr.",
"credential": "MS, RN, CS, FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-13",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "241202",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DPS",
"identifier": "10129831",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.