Active NPI
Tasha Nicole Lowery, FNP-C
- Family Nurse Practitioner
- Big Bear Lake, CA
National Provider Identifier
1457719320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95003451
- Practice address
- 41870 Garstin Drive
Box 1649
Big Bear Lake, CA 92315-1649 - Phone
- (909) 866-8501
- NPI assigned
- Feb 5, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | 95003451 | CA | Primary |
Addresses
Primary practice location
41870 Garstin Drive
Box 1649
Big Bear Lake, CA 92315-1649
Mailing address
PO Box 4271
Big Bear Lake, CA 92315-4271
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95003451 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460073600000",
"number": "1457719320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4271",
"city": "BIG BEAR LAKE",
"state": "CA",
"postal_code": "923154271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41870 GARSTIN DRIVE",
"address_2": "BOX 1649",
"city": "BIG BEAR LAKE",
"state": "CA",
"postal_code": "923151649",
"telephone_number": "909-866-8501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOWERY",
"first_name": "TASHA",
"middle_name": "NICOLE",
"name_prefix": "Ms.",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-05",
"last_updated": "2016-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95003451",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Big Bear Lake, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.