Active NPI
Andrea B. Lowe, M.D.
- Pediatrics Physician
- Mount Vernon, WA
National Provider Identifier
1407975089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- BS6123486
- Practice address
- 2101 Little Mountain LN
Mount Vernon, WA 98274-8752 - Phone
- (360) 428-2622
- Fax
- (360) 428-3941
- NPI assigned
- Mar 28, 2007
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | BS6123486 | WA | Primary |
Addresses
Primary practice location
2101 Little Mountain LN
Mount Vernon, WA 98274-8752
Mailing address
2101 Little Mountain LN
Mount Vernon, WA 98274-8752
Phone (360) 428-2622
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8277154 | Medicaid | WA |
Other names 1
- Andrea B. Smith
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BS6123486 | WA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Public Hospital Dist No 1 Skagit | Past | Accepting new patients |
Interoperability endpoints
- abl@skagit.pcc-direct.com
- alowe20766@skagit.direct-ci.com
- alowe366572@direct.seattlechildrens.org
Organizations & group practices 1
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.
-
- Specialist
- Mount Vernon, WA
- NPI 1629012463
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313971200000",
"number": "1407975089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 LITTLE MOUNTAIN LN",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982748752",
"telephone_number": "360-428-2622",
"fax_number": "360-428-3941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 LITTLE MOUNTAIN LN",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982748752",
"telephone_number": "360-428-2622",
"fax_number": "360-428-3941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOWE",
"first_name": "ANDREA",
"middle_name": "B.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-28",
"last_updated": "2011-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WA",
"license": "BS6123486",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8277154",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANDREA",
"last_name": "SMITH",
"middle_name": "B.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Mount Vernon, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.