Individual provider Active NPI

Kaylan Hudson Lowry, CPNP-PC

  • Nurse Practitioner
  • Collierville, TN
National Provider Identifier
1528529476
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
25645 Issued in TN
Practice address
830 W Poplar Ave Ste 2
Collierville, TN 38017-4046
Phone
(901) 673-4061
Fax
(901) 425-9537
NPI assigned
Mar 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 25645 TN
Nurse Practitioner 363L00000X 25645 TN Primary

Addresses

Primary practice location

830 W Poplar Ave Ste 2
Collierville, TN 38017-4046

Mailing address

2692 Poagville Rd
Coldwater, MS 38618-3104
Phone (601) 317-5494

Other practice location 1

6225 Humphreys Blvd
Memphis, TN 38120-2373
Phone (901) 227-9999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190727000105 TN Practitioner - Nurse Practitioner 8729314836 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
25645TNMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care for Children, PLLC Nurse Practitioner CurrentSince Jan 1, 2021 Accepting new patients
Southeastern Emergency Services P C Nurse Practitioner CurrentSince Jul 1, 2019 Accepting new patients
Southeastern Emergency Physicians LLC Nurse Practitioner CurrentSince Sep 1, 2021 Accepting new patients
Children's Urgent Care, LLC Nurse Practitioner PastSince Nov 30, 2020 Accepting new patients

Locations

500 Cahaba Park Cir
Ste 100
Birmingham, AL 35242
Phone (205) 848-2273

5215 Highway 153
Ste 105
Hixson, TN 37343
Phone (423) 664-1151

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

550 Fort Loudoun Med Center Dr
Lenoir City, TN 37772
Phone (865) 271-6000

6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190

6225 Humphreys Blvd
Memphis, TN 38120
Phone (901) 227-2727

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1528529476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2692 POAGVILLE RD",
            "city": "COLDWATER",
            "state": "MS",
            "postal_code": "386183104",
            "telephone_number": "601-317-5494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 W POPLAR AVE STE 2",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380174046",
            "telephone_number": "901-673-4061",
            "fax_number": "901-425-9537"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6225 Humphreys Blvd",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381202373",
            "country_code": "US",
            "telephone_number": "901-227-9999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOWRY",
        "first_name": "KAYLAN",
        "middle_name": "HUDSON",
        "credential": "CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-25",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TN",
            "license": "25645",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "25645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collierville, TN

Sources for this page

Verify at the official NPI Registry.