Individual provider Active NPI

Chenel Denise Lowry-Wyatt, BSN RN

  • Registered Nurse
  • Green Cove Springs, FL
National Provider Identifier
1932770534
Registry record updated Jul 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
9518667 Issued in FL
Practice address
3328 Spring Valley CT
Green Cove Springs, FL 32043-7062
Phone
(843) 514-8028
NPI assigned
Jul 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 9518667 FL Primary

Addresses

Primary practice location

3328 Spring Valley CT
Green Cove Springs, FL 32043-7062

Mailing address

3328 Spring Valley CT
Green Cove Springs, FL 32043-7062
Phone (843) 514-8028

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
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
9518667FLMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Wylo Medical Training Institute Dba/ Wylo Medical Transport CurrentSince Jul 17, 2021 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1625443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625443200000",
    "number": "1932770534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3328 SPRING VALLEY CT",
            "city": "GREEN COVE SPRINGS",
            "state": "FL",
            "postal_code": "320437062",
            "telephone_number": "843-514-8028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3328 SPRING VALLEY CT",
            "city": "GREEN COVE SPRINGS",
            "state": "FL",
            "postal_code": "320437062",
            "telephone_number": "843-514-8028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWRY-WYATT",
        "first_name": "CHENEL",
        "middle_name": "DENISE",
        "credential": "BSN RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-05",
        "last_updated": "2021-07-05",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9518667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Cove Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.

Verify at the official NPI Registry.