Active NPI
Lisa Yavette Lowery, CACDI 02137-L
- Addiction (Substance Use Disorder) Counselor
- Las Vegas, NV
National Provider Identifier
1881177012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 02137-L
- Practice address
- 3920 W Charleston Blvd Ste O
Las Vegas, NV 89102-1633 - Phone
- (702) 478-5541
- NPI assigned
- Sep 13, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 02137-L | NV | Primary |
Addresses
Primary practice location
3920 W Charleston Blvd Ste O
Las Vegas, NV 89102-1633
Mailing address
3583 Spring Shower Dr
Las Vegas, NV 89147-3733
Phone (206) 245-0775
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02137-L | Medicaid | NV |
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 |
|---|---|---|---|
| 02137-L | NV | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536796800000",
"number": "1881177012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3583 SPRING SHOWER DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891473733",
"telephone_number": "206-245-0775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3920 W CHARLESTON BLVD STE O",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891021633",
"telephone_number": "702-478-5541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOWERY",
"first_name": "LISA",
"middle_name": "YAVETTE",
"credential": "CACDI 02137-L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-13",
"last_updated": "2018-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NV",
"license": "02137-L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02137-L",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.