Individual provider Active NPI

Kelsi B. Lowe, NP

  • Pediatric Nurse Practitioner
  • Callao, VA
National Provider Identifier
1851862221
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
0024176516 Issued in VA
Practice address
17452 Richmond Road
Callao, VA 22435-2420
Phone
(804) 529-6141
Fax
(804) 529-6919
NPI assigned
Dec 11, 2018
Last updated
Aug 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 0024176516 VA Primary

Addresses

Primary practice location

17452 Richmond Road
Callao, VA 22435-2420

Mailing address

PO Box 91734
Richmond, VA 23291-1734
Phone (804) 358-6100

Other practice location 1

16 Delfae Dr
Warsaw, VA 22572-4281
Phone (804) 333-1260

Other names 1

  • Kelsi E. Baughan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024176516VAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MCV Associated Physicians CurrentSince Jul 1, 2021 Accepting new patients

Locations

401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409

16 Delfae Dr
Warsaw, VA 22572
Phone (804) 333-1260

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1544486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1851862221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91734",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232911734",
            "telephone_number": "804-358-6100",
            "fax_number": "804-342-7619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17452 RICHMOND ROAD",
            "city": "CALLAO",
            "state": "VA",
            "postal_code": "224352420",
            "telephone_number": "804-529-6141",
            "fax_number": "804-529-6919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 Delfae Dr",
            "address_purpose": "LOCATION",
            "city": "Warsaw",
            "state": "VA",
            "postal_code": "225724281",
            "country_code": "US",
            "telephone_number": "804-333-1260",
            "fax_number": "804-333-3796",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOWE",
        "first_name": "KELSI",
        "middle_name": "B.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-11",
        "last_updated": "2021-08-12",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "VA",
            "license": "0024176516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSI",
            "last_name": "BAUGHAN",
            "middle_name": "E.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Callao, VA

Sources for this page

Verify at the official NPI Registry.