Active NPI
Lowerstine Nelson, M.S., BCBA-LBA
- Behavior Analyst
- Poplar Bluff, MO
National Provider Identifier
1649940578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 2022041106
- Practice address
- 712 N F St
Poplar Bluff, MO 63901-5330 - Phone
- (573) 712-7082
- NPI assigned
- Sep 13, 2021
- 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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 2022041106 | MO | Primary |
Addresses
Primary practice location
712 N F St
Poplar Bluff, MO 63901-5330
Mailing address
9600 David Dr
Poplar Bluff, MO 63901-9762
Phone (573) 712-4660
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2022041106 | MO | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760486400000",
"number": "1649940578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9600 DAVID DR",
"city": "POPLAR BLUFF",
"state": "MO",
"postal_code": "639019762",
"telephone_number": "573-712-4660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "712 N F ST",
"city": "POPLAR BLUFF",
"state": "MO",
"postal_code": "639015330",
"telephone_number": "573-712-7082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "LOWERSTINE",
"name_prefix": "Ms.",
"credential": "M.S., BCBA-LBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-13",
"last_updated": "2025-10-15",
"certification_date": "2025-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MO",
"license": "2022041106",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Poplar Bluff, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.