Jacklyn Lowry, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

2007028314 Issued in MO

Practice address

512 E Main St
Park Hills, MO 63601-2624

Phone

(573) 431-0554

NPI assigned

Sep 21, 2015

Last updated

Sep 21, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Southeast Missouri Behavioral Health

  • Adult Mental Health Clinic/Center
  • Farmington, MO
  • NPI 1144372517
  NPD (past)
• Southeast Missouri Behavioral Health Inc

  • Community/Behavioral Health Agency
  • Farmington, MO
  • NPI 1982875407
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442793600000",
    "number": "1487023446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 459",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636400459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 E MAIN ST",
            "city": "PARK HILLS",
            "state": "MO",
            "postal_code": "636012624",
            "telephone_number": "573-431-0554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWRY",
        "first_name": "JACKLYN",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-21",
        "last_updated": "2015-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MO",
            "license": "2007028314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lbenholdings (Secret Gardens)
• Christin Lewis, RN
• Lisa Michelle Long, RN
• Tonya Monique Long, DMD
• Carrie Lorentz, MA, SLP LICENSE
• Walter Major, LPC
• Susan McCarron, LPN
• MCD Care, LLC (Keith Street Manor)
• Ashley Brooke McFarland
• Robene McKoy, RN

• Licensed Practical Nurse in Park Hills, MO
• Providers in Park Hills, MO by specialty
• Licensed Practical Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; 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.