Individual provider Active NPI

Rehana Luana Lowtan

  • Primary Care Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1801425210
Registry record updated Apr 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
0677596 Issued in NY
Practice address
3101 Avenue I Apt 6C
Brooklyn, NY 11210-3855
Phone
(347) 463-3697
NPI assigned
Apr 7, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 0677596 NY Primary

Addresses

Primary practice location

3101 Avenue I Apt 6C
Brooklyn, NY 11210-3855

Mailing address

3101 Avenue I Apt 6C
Brooklyn, NY 11210-3855
Phone (347) 463-3697

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

State licenses

LicenseStateTypeSpecialty
0677596NYMDPrimary Care Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586217600000",
    "number": "1801425210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 AVENUE I APT 6C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112103855",
            "telephone_number": "347-463-3697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 AVENUE I APT 6C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112103855",
            "telephone_number": "347-463-3697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWTAN",
        "first_name": "REHANA",
        "middle_name": "LUANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-07",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NY",
            "license": "0677596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.