Active NPI
Donna Lowe, NNP
- Neonatal Nurse Practitioner
- Mobile, AL
National Provider Identifier
1669473500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- 534840
- Practice address
- 5 Mobile Infirmary Cir
Mobile, AL 36607-3513 - Phone
- (251) 435-2400
- NPI assigned
- Aug 2, 2005
- Last updated
- Jan 12, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | 534840 | TX | Primary |
Addresses
Primary practice location
5 Mobile Infirmary Cir
Mobile, AL 36607-3513
Mailing address
22901 Carnoustie Dr
Foley, AL 36535-9358
Other practice location 1
5201 Harry Hines Blvd
Medical Staff Services
Dallas, TX 75235-7708
Phone (214) 590-8006
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8Y0198 | Other | TX | BLUE CROSS BLUE SHIELD |
| 173480801 | Medicaid | TX | |
| 173480802 | Medicaid | TX |
Other names 1
- Donna Frederick
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 534840 | TX | MD | Neonatal Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610409600000",
"number": "1669473500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22901 CARNOUSTIE DR",
"city": "FOLEY",
"state": "AL",
"postal_code": "365359358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 MOBILE INFIRMARY CIR",
"city": "MOBILE",
"state": "AL",
"postal_code": "366073513",
"telephone_number": "251-435-2400"
}
],
"practiceLocations": [
{
"address_1": "5201 Harry Hines Blvd",
"address_2": "MEDICAL STAFF SERVICES",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752357708",
"country_code": "US",
"telephone_number": "214-590-8006",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOWE",
"first_name": "DONNA",
"credential": "NNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-02",
"last_updated": "2021-01-12",
"certification_date": "2021-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "TX",
"license": "534840",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8Y0198",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "173480801",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "173480802",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DONNA",
"last_name": "FREDERICK",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.