Active NPI
Amanda Marie Lowery
- Peer Specialist
- Circleville, OH
National Provider Identifier
1780152033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 2065 Stoneridge Dr
Circleville, OH 43113-8956 - Phone
- (740) 500-1391
- NPI assigned
- Nov 5, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Primary | ||
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
2065 Stoneridge Dr
Circleville, OH 43113-8956
Mailing address
136 Fairview Blvd
Circleville, OH 43113-1521
Phone (740) 248-8083
Other practice location 1
110 Highland Ave
Circleville, OH 43113-1208
Phone (740) 477-1745
Other practice location 2
136 Fairview Blvd
Circleville, OH 43113-1521
Phone (740) 248-8083
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 310935440 | Medicaid | OH |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Full Circle Recovery of Circleville | Current | Accepting new patients | |
| Full Circle Recovery of Circleville | Current | Accepting new patients |
Locations
2065 Stoneridge Dr
Circleville, OH 43113
Phone (740) 500-1391
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/hopevalleyrecovery/r4/
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.
-
- Community/Behavioral Health Agency
- Circleville, OH
- NPI 1861137408
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Circleville, OH
- NPI 1922607266
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621814400000",
"number": "1780152033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 FAIRVIEW BLVD",
"city": "CIRCLEVILLE",
"state": "OH",
"postal_code": "431131521",
"telephone_number": "740-248-8083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2065 STONERIDGE DR",
"city": "CIRCLEVILLE",
"state": "OH",
"postal_code": "431138956",
"telephone_number": "740-500-1391"
}
],
"practiceLocations": [
{
"address_1": "110 Highland Ave",
"address_purpose": "LOCATION",
"city": "Circleville",
"state": "OH",
"postal_code": "431131208",
"country_code": "US",
"telephone_number": "740-477-1745",
"fax_number": "740-477-2779",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "136 Fairview Blvd",
"address_purpose": "LOCATION",
"city": "Circleville",
"state": "OH",
"postal_code": "431131521",
"country_code": "US",
"telephone_number": "740-248-8083",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOWERY",
"first_name": "AMANDA",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-05",
"last_updated": "2021-05-24",
"certification_date": "2021-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "310935440",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Circleville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.