Individual provider Active NPI

Kevin Lowrey, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1407499635
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
C-APN.0004488-C-NP Issued in CO
Practice address
1259 Lake Plaza Dr Ste 255
Colorado Springs, CO 80906-3504
Phone
(719) 598-3585
NPI assigned
Oct 21, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 233539 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X C-APN.0004488-C-NP CO Primary

Addresses

Primary practice location

1259 Lake Plaza Dr Ste 255
Colorado Springs, CO 80906-3504

Mailing address

3948 W Salter Dr
Glendale, AZ 85308-4712

Other practice location 1

4220 N 20th Ave
Phoenix, AZ 85015-5124
Phone (602) 889-9401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200123000474 AZ Practitioner - Nurse Practitioner 1658706536 Reassigns benefits to 1 organization
I20240927002857 OR Practitioner - Nurse Practitioner 1658706536 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Marion CountyGroup PAC ID 8123928017, 19 clinicians

Practice addresses (Care Compare)

2045 Silverton Rd NE
Salem, OR 97301-0100
Phone (503) 576-4589

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C-APN.0004488-C-NPCOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Marion County CurrentSince Oct 28, 2024 Accepting new patients
Mind 247 Practice LLC CurrentSince Jun 20, 2022 Accepting new patients
Lifewell Behavioral Wellness CurrentSince Jun 22, 2021 Accepting new patients
Mind 247 Practice LLC CurrentSince Jun 20, 2022 Accepting new patients
Marion County CurrentSince Oct 28, 2024 Accepting new patients

Locations

1220 S Higley Rd
Ste 201
Mesa, AZ 85206
Phone (480) 529-7125

1138 S Higley Rd
Mesa, AZ 85206
Phone (480) 325-3876

202 E Earll Dr
Ste 200
Phoenix, AZ 85012
Phone (602) 599-5404

2311 W Royal Palm Rd
Phoenix, AZ 85021
Phone (602) 269-5300

10046 N Metro Pkwy W
Phoenix, AZ 85051
Phone (602) 894-2880

10844 N 23rd Ave
Ste 200
Phoenix, AZ 85029
Phone (602) 353-2340

10046 N Metro Pkwy W
Ste 115
Phoenix, AZ 85051
Phone (602) 674-5515

2728 N 24th St
Phoenix, AZ 85008
Phone (480) 482-7020

1465 N Scottsdale Rd
Ste 400
Scottsdale, AZ 85257

2045 Silverton Rd NE
Salem, OR 97301
Phone (503) 576-4589

Interoperability endpoints

  • Direct secure messaging: kevin.lowrey.p1@direct.lifewell.nextgenshare.com

Organizations & group practices 5

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": "1571616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1407499635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3948 W SALTER DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853084712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1259 LAKE PLAZA DR STE 255",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063504",
            "telephone_number": "719-598-3585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4220 N 20th Ave",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850155124",
            "country_code": "US",
            "telephone_number": "602-889-9401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOWREY",
        "first_name": "KEVIN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-21",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "233539",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "C-APN.0004488-C-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.