Individual provider Active NPI

Krenie Stowe, MD

  • Pediatrics Physician
  • Lawrence, MA
National Provider Identifier
1720299456
Registry record updated Jul 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
274183 Issued in MA
Practice address
700 Essex St
Lawrence, MA 01841
Phone
(978) 686-0090
Fax
(978) 683-0663
NPI assigned
May 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 274183 MA Primary
Pediatrics Physician 208000000X MD160828 OR

Addresses

Primary practice location

700 Essex St
Lawrence, MA 01841

Mailing address

700 Essex St
Lawrence, MA 01841-4396
Phone (978) 686-0090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180904003038 MA Practitioner - Pediatric Medicine 0143459388 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
274183MAMDPediatrics Physician
MD160828ORMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Lawrence Family Health Center Inc CurrentSince Jun 18, 2018 Accepting new patients
Greater Lawrence Family Health Center, Inc. CurrentSince Jun 18, 2018 Accepting new patients

Locations

150 Park St
Lawrence, MA 01841
Phone (978) 685-1770

700 Essex St
Lawrence, MA 01841
Phone (978) 689-2400

34 Haverhill St
Lawrence, MA 01841

Interoperability endpoints

  • Direct secure messaging: krenie.stowe.1@23857.direct.athenahealth.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": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530835200000",
    "number": "1720299456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ESSEX ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018414396",
            "telephone_number": "978-686-0090",
            "fax_number": "978-683-0663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 ESSEX ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "01841",
            "telephone_number": "978-686-0090",
            "fax_number": "978-683-0663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOWE",
        "first_name": "KRENIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2018-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "274183",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "MD160828",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, MA

Sources for this page

Verify at the official NPI Registry.