Individual provider Active NPI

Ayishia Keveta Lowe

  • Family Nurse Practitioner
  • Millington, TN
National Provider Identifier
1669818043
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
17329 Issued in TN
Practice address
5277 Integrity Dr
BLDG S771
Millington, TN 38054
Phone
(901) 874-6100
NPI assigned
May 13, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN230297 GA
Family Nurse Practitioner 363LF0000X 2354 TX
Family Nurse Practitioner 363LF0000X 17329 TN Primary

Addresses

Primary practice location

5277 Integrity Dr
BLDG S771
Millington, TN 38054

Mailing address

50 Cami CV
Somerville, TN 38068-6092
Phone (901) 825-7408

Other practice location 1

2115 Union Ave
Memphis, TN 38104-4233
Phone (866) 389-2727

Other practice location 2

6230 Windbrooke Ct
Powder Springs, GA 30127-8002
Phone (901) 825-7408

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140220000307 GA Practitioner - Nurse Practitioner 4385874296 Reassigns benefits to 1 organization
I20180510000021 TN Practitioner - Nurse Practitioner 4385874296 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians

Practice addresses (Care Compare)

1137 S Dupree Ave
Brownsville, TN 38012-3255
Phone (931) 332-0961

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2354TXMDMarriage & Family Therapist
17329TNMDGeneral Practice Physician
RN230297GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Upperline Healthcare, PC CurrentSince Nov 1, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Nov 1, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Dec 18, 2023 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Dec 18, 2023 Accepting new patients

Locations

1137 S Dupree Ave
Brownsville, TN 38012
Phone (731) 779-0902

1137 S Dupree Ave
Ste 400
Brownsville, TN 38012
Phone (731) 779-0902

7348 E Brainerd Rd
Chattanooga, TN 37421
Phone (205) 822-8038

Organizations & group practices 4

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": "1368403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1669818043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 CAMI CV",
            "city": "SOMERVILLE",
            "state": "TN",
            "postal_code": "380686092",
            "telephone_number": "901-825-7408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5277 INTEGRITY DR",
            "address_2": "BLDG S771",
            "city": "MILLINGTON",
            "state": "TN",
            "postal_code": "38054",
            "telephone_number": "901-874-6100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2115 Union Ave",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381044233",
            "country_code": "US",
            "telephone_number": "866-389-2727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6230 Windbrooke Ct",
            "address_purpose": "LOCATION",
            "city": "Powder Springs",
            "state": "GA",
            "postal_code": "301278002",
            "country_code": "US",
            "telephone_number": "901-825-7408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOWE",
        "first_name": "AYISHIA",
        "middle_name": "KEVETA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-13",
        "last_updated": "2022-09-23",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN230297",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "2354",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "17329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millington, TN

Sources for this page

Verify at the official NPI Registry.