Active NPI
Kimberley A Lowry, NP
- Nurse Practitioner
- Tyler, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 651967
- Practice address
- 1000 S Beckham Ave
Tyler, TX 75701-1908 - Phone
- (903) 590-5611
- Fax
- (903) 594-2038
- NPI assigned
- Sep 4, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
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.
-
- Rural Health Clinic/Center
- Chandler, TX
- NPI 1235706581
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Starks MedicalTexas Spine and Joint Hospital LLCIpa ER Group PLLC
Practice addresses (Care Compare)
125 E Main St
Bullard, TX 75757-5345
Phone (903) 339-0887
1814 Roseland Blvd
Tyler, TX 75701-4234
Phone (903) 525-3333
1814 Roseland Blvd
Suite 100
Tyler, TX 75701-4262
Phone (214) 696-8033
2211 S Loop
Suite 256
Palestine, TX 75801-4701
Phone (903) 729-0970
Hospital & facility affiliations
- Baylor Scott & White Texas Spine & Joint Hospital
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121011000362 | TX | Practitioner - Nurse Practitioner | 6901055763 | Reassigns benefits to 5 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 651967 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Starks Medical | Current | Accepting new patients | |
| Ipa ER Group PLLC | Current | Accepting new patients | |
| Inpatient Physician Associates PLLC | Current | Accepting new patients | |
| Etmc Physician Group Inc. | Current | Accepting new patients | |
| Texas Spine and Joint Hospital, LLC | Current | Accepting new patients | |
| Etmc Physician Group Inc. | Current | Accepting new patients |
Locations
125 E Main St
Bullard, TX 75757
Phone (903) 339-0887
6901 Snider Plz
Ste 130
Dallas, TX 75205
Phone (972) 381-6690
18118 FM 344 W
Flint, TX 75762
Phone (903) 825-3292
3150 Horizon Rd
Rockwall, TX 75032
Phone (469) 697-1000
2850 E Highway 114
Trophy Club, TX 76262
Phone (817) 837-4600
1000 S Beckham Ave
Tyler, TX 75701
Phone (903) 526-1068
6210 S Broadway Ave
Tyler, TX 75703
Phone (903) 579-2700
901 Turtle Creek Dr
Tyler, TX 75701
Phone (903) 594-2418
1814 Roseland Blvd
Tyler, TX 75701
Phone (903) 525-3300
1814 Roseland Blvd
Ste 100
Tyler, TX 75701
Phone (214) 696-8033
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 651967 | TX | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1000 S Beckham Ave
Tyler, TX 75701-1908
Mailing address
901 Turtle Creek Dr
Tyler, TX 75701-1947
Phone (903) 596-3651
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 4, 2012.
{
"created_epoch": "1346716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346716800000",
"number": "1295084499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 TURTLE CREEK DR",
"city": "TYLER",
"state": "TX",
"postal_code": "757011947",
"telephone_number": "903-596-3651",
"fax_number": "903-594-2038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 S BECKHAM AVE",
"city": "TYLER",
"state": "TX",
"postal_code": "757011908",
"telephone_number": "903-590-5611",
"fax_number": "903-594-2038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOWRY",
"first_name": "KIMBERLEY",
"middle_name": "A",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-04",
"last_updated": "2012-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "651967",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.