Active NPI
Analisa Miranda Loewen, N.P.
- Family Nurse Practitioner
- Raleigh, NC
National Provider Identifier
1407858616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5013936
- Practice address
- 100 S Boylan Ave
Raleigh, NC 27603-1802 - Phone
- (919) 833-7526
- NPI assigned
- Jun 1, 2005
- Last updated
- Aug 20, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000485492 | Other | IN | ANTHEM PIN - MARY ST |
| 000000485495 | Other | IN | ANTHEM PIN - GATEWAY BLVD |
| 200489350 | Medicaid | IN | |
| 000000343152 | Other | IN | BCBS PIN |
Other names 1
- Analisa M Thiel
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
| Organization | Specialty | Status | New 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.
-
- Advanced Practice Midwife
- Greensboro, NC
- NPI 1487790762
-
- Advanced Practice Midwife
- Raleigh, NC
- NPI 1811033210
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.