Active NPI
Rena Lowe
- Driver
- Evanston, WY
National Provider Identifier
1811308463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- 108242530
- Practice address
- 127 Simpson Ave
Evanston, WY 82930-4933 - Phone
- (307) 677-1310
- NPI assigned
- May 16, 2014
- Last updated
- May 16, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | 108242530 | WY | Primary |
Addresses
Primary practice location
127 Simpson Ave
Evanston, WY 82930-4933
Mailing address
127 Simpson Ave
Evanston, WY 82930-4933
Phone (307) 677-1310
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 108242530 | WY | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400198400000",
"number": "1811308463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 SIMPSON AVE",
"city": "EVANSTON",
"state": "WY",
"postal_code": "829304933",
"telephone_number": "307-677-1310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 SIMPSON AVE",
"city": "EVANSTON",
"state": "WY",
"postal_code": "829304933",
"telephone_number": "307-677-1310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOWE",
"first_name": "RENA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-16",
"last_updated": "2014-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "WY",
"license": "108242530",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Evanston, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.