Individual provider Active NPI

Krystal Vanlowe, MD

  • Obstetrics & Gynecology Physician
  • Las Vegas, NV
National Provider Identifier
1508825290
Registry record updated Jul 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
15864 Issued in NV
Practice address
8906 Spanish Ridge Ave Ste 202
Las Vegas, NV 89148-1319
Phone
(702) 577-1622
Fax
(702) 912-4994
NPI assigned
Mar 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4301074586 MI
Obstetrics & Gynecology Physician 207V00000X 0000351 CO
Obstetrics & Gynecology Physician 207V00000X 15864 NV Primary

Addresses

Primary practice location

8906 Spanish Ridge Ave Ste 202
Las Vegas, NV 89148-1319

Mailing address

8906 Spanish Ridge Ave Ste 202
Las Vegas, NV 89148-1319
Phone (702) 330-3102

Other identifiers 4

IdentifierTypeStateIssuer
700E012300OtherMIBCBSM GROUP NUMBER
1508825290MedicaidNV
700H201530OtherMIBCBSM GROUP NUMBER
4991844MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160607001704 NV Practitioner - Obstetrics/Gynecology 7315840725 Reassigns benefits to 1 organization
I20240118002518 CA Practitioner - Obstetrics/Gynecology 7315840725 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0000351COMDObstetrics & Gynecology Physician
15864NVMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Magella Medical Group, Inc. Obstetrics & Gynecology CurrentSince Jan 6, 2024 Accepting new patients
Sutter Valley Medical Foundation Current Accepting new patients
Sutter Valley Medical Foundation CurrentSince Jan 1, 2024 Accepting new patients
Sutter Valley Medical Foundation Obstetrics & Gynecology CurrentSince Jan 1, 2024 Accepting new patients
Nevada Womens Hospitalists - Storey PLLC Obstetrics & Gynecology CurrentSince Oct 8, 2023 Accepting new patients
Summerlin Hospital Medical Center L L C Past Accepting new patients
Diagnostic Imaging Services Past Accepting new patients
North Colorado Medical Center Past Accepting new patients
Bay County Health System, LLC Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients

Locations

2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731

17100 Euclid St
Fountain Vly, CA 92708
Phone (714) 966-7200

815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900

2865 Atlantic Ave
Ste 110
Long Beach, CA 90806
Phone (562) 933-0590

4281 Katella Ave
Ste 223
Los Alamitos, CA 90720
Phone (562) 429-7100

File 50978
Los Angeles, CA 90074

1680 E 120th St
Los Angeles, CA 90059
Phone (424) 338-8000

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

4101 Torrance Blvd
Torrance, CA 90503
Phone (310) 540-7676

8285 W Arby Ave
Ste 280
Las Vegas, NV 89113
Phone (702) 577-1622

8906 Spanish Ridge Ave
Ste 202
Las Vegas, NV 89148
Phone (702) 330-3102

Interoperability endpoints

  • Direct secure messaging: kvanlowe674919@hisp.ehr.sutterhealth.org

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657324800000",
    "number": "1508825290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8906 SPANISH RIDGE AVE STE 202",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891481319",
            "telephone_number": "702-330-3102",
            "fax_number": "702-912-4994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8906 SPANISH RIDGE AVE STE 202",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891481319",
            "telephone_number": "702-577-1622",
            "fax_number": "702-912-4994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANLOWE",
        "first_name": "KRYSTAL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-21",
        "last_updated": "2022-07-09",
        "certification_date": "2022-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301074586",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "0000351",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NV",
            "license": "15864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM GROUP NUMBER",
            "identifier": "700E012300",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508825290",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM GROUP NUMBER",
            "identifier": "700H201530",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4991844",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.