Active NPI
Teresa Irene Lowe
- Registered Nurse
- Willoughby, OH
National Provider Identifier
1962533075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN255304
- Practice address
- 37442 Park Ave
Willoughby, OH 44094-6051 - Phone
- (440) 946-6857
- NPI assigned
- Mar 8, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN255304 | OH | Primary |
Addresses
Primary practice location
37442 Park Ave
Willoughby, OH 44094-6051
Mailing address
37442 Park Ave
Willoughby, OH 44094-6051
Phone (440) 946-6857
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2214311 | Medicaid | OH |
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 |
|---|---|---|---|
| RN255304 | OH | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962533075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37442 PARK AVE",
"city": "WILLOUGHBY",
"state": "OH",
"postal_code": "440946051",
"telephone_number": "440-946-6857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37442 PARK AVE",
"city": "WILLOUGHBY",
"state": "OH",
"postal_code": "440946051",
"telephone_number": "440-946-6857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOWE",
"first_name": "TERESA",
"middle_name": "IRENE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN255304",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2214311",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Willoughby, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.