Active NPI
Jane Marie Henneman Low
- Family Nurse Practitioner
- Susanville, CA
National Provider Identifier
1962652131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP 18206
- Practice address
- 1850 Spring Ridge Dr
Susanville, CA 96130-6100 - Phone
- (530) 251-5000
- NPI assigned
- Sep 24, 2008
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NP 18206 | CA | Primary |
Addresses
Primary practice location
1850 Spring Ridge Dr
Susanville, CA 96130-6100
Mailing address
699-000 Gold Run Rd
Susanville, CA 96130-5829
Phone (530) 257-4524
Other names 1
- Jane Marie Low
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18206 | CA | MD | Medical Physician Assistant |
| NP 18206 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222214400000",
"number": "1962652131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "699-000 GOLD RUN RD",
"city": "SUSANVILLE",
"state": "CA",
"postal_code": "961305829",
"telephone_number": "530-257-4524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 SPRING RIDGE DR",
"city": "SUSANVILLE",
"state": "CA",
"postal_code": "961306100",
"telephone_number": "530-251-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENNEMAN LOW",
"first_name": "JANE",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-24",
"last_updated": "2008-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "NP 18206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JANE",
"last_name": "LOW",
"middle_name": "MARIE",
"credential": "FNP",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Susanville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.