Active NPI
Shannon Lowe, QRP
- Case Manager/Care Coordinator
- Bluefield, WV
National Provider Identifier
1629397724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- QRP00000265
- Practice address
- 3609 E Cumberland Rd
Bluefield, WV 24701-5113 - Phone
- (304) 327-6105
- Fax
- (304) 327-6107
- NPI assigned
- May 28, 2010
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | QRP00000265 | WV | Primary |
Addresses
Primary practice location
3609 E Cumberland Rd
Bluefield, WV 24701-5113
Mailing address
3609 E Cumberland Rd
Bluefield, WV 24701-5113
Phone (304) 327-6105
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| QRP00000265 | Other | WV | BRICKSTREET INSURACE UPIN |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| QRP00000265 | WV | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275004800000",
"number": "1629397724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3609 E CUMBERLAND RD",
"city": "BLUEFIELD",
"state": "WV",
"postal_code": "247015113",
"telephone_number": "304-327-6105",
"fax_number": "304-327-6107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3609 E CUMBERLAND RD",
"city": "BLUEFIELD",
"state": "WV",
"postal_code": "247015113",
"telephone_number": "304-327-6105",
"fax_number": "304-327-6107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOWE",
"first_name": "SHANNON",
"credential": "QRP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-28",
"last_updated": "2010-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "WV",
"license": "QRP00000265",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BRICKSTREET INSURACE UPIN",
"identifier": "QRP00000265",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bluefield, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.