Individual provider Active NPI

Colleen Mary Low, NNP

  • Neonatal Nurse Practitioner
  • Poughkeepsie, NY
National Provider Identifier
1407105513
Registry record updated Sep 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal Nurse PractitionerTaxonomy code 363LN0000X
License
350343 Issued in NY
Practice address
45 Reade Place
Poughkeepsie, NY 12601
Phone
(845) 431-5677
NPI assigned
Sep 5, 2012
Last updated
Sep 5, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal Nurse Practitioner 363LN0000X 350343 NY Primary

Addresses

Primary practice location

45 Reade Place
Poughkeepsie, NY 12601

Mailing address

1342 Rudolph Weir Jr Rd
Earlton, NY 12058-4206
Phone (518) 915-0644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20190322000578 NY Practitioner - Nurse Practitioner 5395965768 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College CurrentSince Feb 26, 2019 Accepting new patients
Albany Medical College CurrentSince Jul 1, 2019 Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College CurrentSince Feb 26, 2019 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC CurrentSince Jun 10, 2023 Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Jun 10, 2023 Accepting new patients
Albany Medical College Current Accepting new patients

Locations

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

47 New Scotland Ave
#101
Albany, NY 12208

1275 Broadway
Menands, NY 12204
Phone (518) 262-9705

45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346803200000",
    "number": "1407105513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1342 RUDOLPH WEIR JR RD",
            "city": "EARLTON",
            "state": "NY",
            "postal_code": "120584206",
            "telephone_number": "518-915-0644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 READE PLACE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "12601",
            "telephone_number": "845-431-5677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOW",
        "first_name": "COLLEEN",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "NNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-05",
        "last_updated": "2012-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "NY",
            "license": "350343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

Verify at the official NPI Registry.