Individual provider Active NPI

Kimberley A Lowry, NP

  • Nurse Practitioner
  • Tyler, TX
National Provider Identifier
1295084499
Registry record updated Sep 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
651967 Issued in TX
Practice address
1000 S Beckham Ave
Tyler, TX 75701-1908
Phone
(903) 590-5611
Fax
(903) 594-2038
NPI assigned
Sep 4, 2012
Last updated
Sep 4, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 651967 TX Primary

Addresses

Primary practice location

1000 S Beckham Ave
Tyler, TX 75701-1908

Mailing address

901 Turtle Creek Dr
Tyler, TX 75701-1947
Phone (903) 596-3651

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121011000362 TX Practitioner - Nurse Practitioner 6901055763 Reassigns benefits to 5 organizations

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 MedicalGroup PAC ID 2567847015, 5 clinicians
Texas Spine and Joint Hospital LLCGroup PAC ID 0345272381, 10 clinicians
Ipa ER Group PLLCGroup PAC ID 9133655616, 27 clinicians

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
651967TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Etmc Physician Group Inc. CurrentSince Mar 1, 2018 Accepting new patients
Inpatient Physician Associates PLLC CurrentSince Jan 1, 2025 Accepting new patients
Starks Medical CurrentSince Mar 22, 2025 Accepting new patients
Ipa ER Group PLLC CurrentSince Dec 11, 2024 Accepting new patients
Etmc Physician Group Inc. CurrentSince Mar 1, 2018 Accepting new patients
Texas Spine and Joint Hospital, LLC CurrentSince Sep 22, 2014 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

1814 Roseland Blvd
Tyler, TX 75701
Phone (903) 525-3300

1814 Roseland Blvd
Ste 100
Tyler, TX 75701
Phone (214) 696-8033

6210 S Broadway Ave
Tyler, TX 75703
Phone (903) 579-2700

901 Turtle Creek Dr
Tyler, TX 75701
Phone (903) 594-2418

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "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

Verify at the official NPI Registry.