Individual provider Active NPI

Lisa Ann Rowley, RN CNP

  • Family Nurse Practitioner
  • Youngstown, OH
National Provider Identifier
1710163399
Registry record updated Nov 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
09830NP Issued in OH
Practice address
1340 Belmont Ave
Suite 2300
Youngstown, OH 44504-1131
Phone
(330) 746-1488
Fax
(330) 746-5611
NPI assigned
Jan 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 215708 OH
Family Nurse Practitioner 363LF0000X 09830NP OH Primary

Addresses

Primary practice location

1340 Belmont Ave
Suite 2300
Youngstown, OH 44504-1131

Mailing address

1340 Belmont Ave
Suite 2300
Youngstown, OH 44504-1131
Phone (330) 746-1488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, PA2 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
I20080701000000 OH Practitioner - Nurse Practitioner 1759452998 Reassigns benefits to 1 organization
I20110810000507 PA Practitioner - Nurse Practitioner 1759452998 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Kidney Group IncGroup PAC ID 0941291231, 21 clinicians

Practice addresses (Care Compare)

101 Nesbitt Rd
Suite 102
New Castle, PA 16105-3401
Phone (724) 657-5452

1340 Belmont Ave
Suite 2300
Youngstown, OH 44504-1129
Phone (330) 746-1488

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
215708OHMDRegistered Nurse
09830NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Kidney Group, Inc CurrentSince May 19, 2008 Accepting new patients
Dialysis Access Center, LLC PastSince May 19, 2008 Accepting new patients

Locations

311 Niles Cortland Rd NE
Warren, OH 44484
Phone (330) 393-3376

1340 Belmont Ave
Ste 2300
Youngstown, OH 44504

2151 Shenango Valley Fwy
Ste B1
Hermitage, PA 16148

2151 Shenango Valley Fwy
Ste B
Hermitage, PA 16148
Phone (724) 308-7742

101 Nesbitt Rd
Ste 102
New Castle, PA 16105
Phone (724) 657-5452

Interoperability endpoints

  • Direct secure messaging: lrowley35577@direct.bsmhealth.org
  • Direct secure messaging: lrowley30819@direct.acumenmd.com

Organizations & group practices 2

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": "1200268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258416000000",
    "number": "1710163399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 BELMONT AVE",
            "address_2": "SUITE 2300",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041131",
            "telephone_number": "330-746-1488",
            "fax_number": "330-746-5611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 BELMONT AVE",
            "address_2": "SUITE 2300",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041131",
            "telephone_number": "330-746-1488",
            "fax_number": "330-746-5611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROWLEY",
        "first_name": "LISA",
        "middle_name": "ANN",
        "credential": "RN CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-14",
        "last_updated": "2009-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "215708",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "09830NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

Verify at the official NPI Registry.