Individual provider Active NPI

Vicky Tubens-Lowa, FNP-BC

  • Family Nurse Practitioner
  • Wallingford, PA
National Provider Identifier
1336813617
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN625722 Issued in PA
Practice address
502 Springhaven Rd
Wallingford, PA 19086-6523
Phone
(973) 219-3277
NPI assigned
Aug 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN625722 PA Primary

Addresses

Primary practice location

502 Springhaven Rd
Wallingford, PA 19086-6523

Mailing address

502 Springhaven Rd
Wallingford, PA 19086-6523
Phone (973) 219-3277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20230119003324 PA Practitioner - Nurse Practitioner 5991176497 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN625722PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
On Demand Urgent Care Group PC CurrentSince Jan 11, 2026 Accepting new patients
On Demand Urgent Care Group PC Past Accepting new patients

Locations

3356 Aramingo Ave
Philadelphia, PA 19134
Phone (215) 739-6600

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1627862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1336813617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 SPRINGHAVEN RD",
            "city": "WALLINGFORD",
            "state": "PA",
            "postal_code": "190866523",
            "telephone_number": "973-219-3277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 SPRINGHAVEN RD",
            "city": "WALLINGFORD",
            "state": "PA",
            "postal_code": "190866523",
            "telephone_number": "973-219-3277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUBENS-LOWA",
        "first_name": "VICKY",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-02",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "RN625722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallingford, PA

Sources for this page

Verify at the official NPI Registry.