Individual provider Active NPI

Analisa Miranda Loewen, N.P.

  • Family Nurse Practitioner
  • Raleigh, NC
National Provider Identifier
1407858616
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5013936 Issued in NC
Practice address
100 S Boylan Ave
Raleigh, NC 27603-1802
Phone
(919) 833-7526
NPI assigned
Jun 1, 2005
Last updated
Aug 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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 5013936 NC Primary

Addresses

Primary practice location

100 S Boylan Ave
Raleigh, NC 27603-1802

Mailing address

100 S Boylan Ave
Raleigh, NC 27603-1802
Phone (919) 833-7526

Other identifiers 4

IdentifierTypeStateIssuer
000000485492OtherINANTHEM PIN - MARY ST
000000485495OtherINANTHEM PIN - GATEWAY BLVD
200489350MedicaidIN
000000343152OtherINBCBS PIN

Other names 1

  • Analisa M Thiel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood South Atlantic Past Accepting new patients
Deaconess Hospital Inc Nurse Practitioner Past Accepting new patients
Planned Parenthood South Atlantic Past Accepting new patients

Organizations & group practices 3

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": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1407858616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S BOYLAN AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276031802",
            "telephone_number": "919-833-7526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S BOYLAN AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276031802",
            "telephone_number": "919-833-7526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOEWEN",
        "first_name": "ANALISA",
        "middle_name": "MIRANDA",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-01",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5013936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN - MARY ST",
            "identifier": "000000485492",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN - GATEWAY BLVD",
            "identifier": "000000485495",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200489350",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "000000343152",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANALISA",
            "last_name": "THIEL",
            "middle_name": "M",
            "credential": "N.P.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.