Lowell G Little Eagle

Primary specialty

DriverTaxonomy code 172A00000X

License

LIT558699 Issued in ND

Practice address

2403 E Thayer Ave
Bismarck, ND 58501-5014

Phone

(701) 595-5181

NPI assigned

Nov 25, 2022

Last updated

Nov 25, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Native Community Development, Inc. Dba Native, Inc.

  • Community/Behavioral Health Agency
  • Bismarck, ND
  • NPI 1275208001
  NPD

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

{
    "created_epoch": "1669334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669334400000",
    "number": "1275243768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 E THAYER AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585015014",
            "telephone_number": "701-595-5181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2403 E THAYER AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585015014",
            "telephone_number": "701-595-5181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITTLE EAGLE",
        "first_name": "LOWELL",
        "middle_name": "G",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-25",
        "last_updated": "2022-11-25",
        "certification_date": "2022-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "NC",
            "license": "LIT558699",
            "primary": false
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "ND",
            "license": "LIT558699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annette Carol Link, LPCC
• James P Link, PSY.D.
• Mathew S Link, CRNA
• Laurie Linz
• Douglas W Litchfield, MD
• Little Lights Pediatric Therapy, LLC
• Kirsten Little, M.S.
• Stephanie Little, LCSW
• William Gregory Littlefield, LAT, ATC
• Lisa M Livesay, MS, OTR/L

• Driver in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Driver in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.

Verify at the official NPI Registry.