Individual provider Active NPI

Kristen Bryanna Lowe, PHARMD

  • Prevention Professional
  • Clarksville, TN
National Provider Identifier
1669135406
Registry record updated Apr 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prevention ProfessionalTaxonomy code 405300000X
License
45496 Issued in TN
Practice address
216 Dover Rd
Clarksville, TN 37042-4156
Phone
(931) 436-9580
NPI assigned
Oct 19, 2021
Last updated
Apr 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 45496 TN
Prevention Professional 405300000X 45496 TN Primary

Addresses

Primary practice location

216 Dover Rd
Clarksville, TN 37042-4156

Mailing address

455 Timber LN
Huntingdon, TN 38344-1625
Phone (731) 415-2168

Other practice location 1

2401 N Central Ave
Humboldt, TN 38343-1753
Phone (731) 784-2613

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
Doctor of Pharmacy

NPI Registry JSON

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

{
    "created_epoch": "1634601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648771200000",
    "number": "1669135406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 TIMBER LN",
            "city": "HUNTINGDON",
            "state": "TN",
            "postal_code": "383441625",
            "telephone_number": "731-415-2168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 DOVER RD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370424156",
            "telephone_number": "931-436-9580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2401 N Central Ave",
            "address_purpose": "LOCATION",
            "city": "Humboldt",
            "state": "TN",
            "postal_code": "383431753",
            "country_code": "US",
            "telephone_number": "731-784-2613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOWE",
        "first_name": "KRISTEN",
        "middle_name": "BRYANNA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-19",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "45496",
            "primary": false
        },
        {
            "code": "405300000X",
            "taxonomy_group": "",
            "desc": "Prevention Professional",
            "state": "TN",
            "license": "45496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; 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.