Individual provider Active NPI

Malika Eileen Lowe, RN

  • Continuing Education/Staff Development Registered Nurse
  • Kissimmee, FL
National Provider Identifier
1588949531
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Continuing Education/Staff Development Registered NurseTaxonomy code 163WC1600X
License
9381117 Issued in FL
Practice address
5095 Whistling Wind Ave
Kissimmee, FL 34758-3288
Phone
(646) 829-9655
NPI assigned
Oct 20, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 9381117 FL
Home Health Registered Nurse 163WH0200X 9381117 FL
Home Health Registered Nurse 163WH0200X 68197701 NY
Licensed Practical Nurse 164W00000X 305784 NY
Continuing Education/Staff Development Registered Nurse 163WC1600X 9381117 FL Primary

Addresses

Primary practice location

5095 Whistling Wind Ave
Kissimmee, FL 34758-3288

Mailing address

5095 Whistling Wind Ave
Kissimmee, FL 34758-3288
Phone (646) 829-9655

Other practice location 1

580 east 82nd st
Brooklyn, NY 11236
Phone (646) 829-9655

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
9381117FLMDContinuing Education/Staff Development Registered Nurse
68197701NYMDHome Health Registered Nurse
305784NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Perfect Source Training LLC Current Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1319068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1588949531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5095 WHISTLING WIND AVE",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347583288",
            "telephone_number": "646-829-9655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5095 WHISTLING WIND AVE",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347583288",
            "telephone_number": "646-829-9655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "580 east 82nd st",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "11236",
            "country_code": "US",
            "telephone_number": "646-829-9655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOWE",
        "first_name": "MALIKA",
        "middle_name": "EILEEN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-20",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "FL",
            "license": "9381117",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "FL",
            "license": "9381117",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "68197701",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "305784",
            "primary": false
        },
        {
            "code": "163WC1600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continuing Education/Staff Development",
            "state": "FL",
            "license": "9381117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; 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.