Individual provider Active NPI

Fanika Delsae Lowe, CPNP

  • Pediatric Nurse Practitioner
  • Greenville, SC
National Provider Identifier
1972016574
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
21431 Issued in SC
Practice address
2905 White Horse Rd
Greenville, SC 29611-6120
Phone
(864) 331-0560
Fax
(864) 241-9277
NPI assigned
Nov 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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 21431 SC Primary

Addresses

Primary practice location

2905 White Horse Rd
Greenville, SC 29611-6120

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8603

Other practice location 1

2000 E Greenville St
Anderson, SC 29621-1580
Phone (864) 512-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231208002977 SC Practitioner - Nurse Practitioner 2961851464 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21431SCMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group CurrentSince Jan 15, 2024 Accepting new patients
Prisma Health University Medical Group CurrentSince Jan 15, 2024 Accepting new patients
Anmed Health Past Accepting new patients

Locations

2000 E Greenville St
Anderson, SC 29621
Phone (864) 512-1000

216 E Calhoun St
Anderson, SC 29621
Phone (864) 231-7273

106 Medical Park Ct
Clinton, SC 29325
Phone (803) 833-9172

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

701 Grove Rd
Greenville, SC 29605
Phone (864) 454-2030

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

1133 Pendleton St
Greenville, SC 29601
Phone (864) 467-3650

200 Patewood Dr
Ste A200
Greenville, SC 29615
Phone (864) 454-5115

2905 White Horse Rd
Greenville, SC 29611
Phone 8643310560 ext. 252

115 E Alexander Ave
Greenwood, SC 29646
Phone (864) 227-1623

249 North Grove Medical Park Dr
Ste 200
Spartanburg, SC 29303
Phone (864) 573-8125

Interoperability endpoints

  • Direct secure messaging: flowe4971@direct.ghs.myhfn.org

Organizations & group practices 3

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": "1509926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1972016574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "864-522-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 WHITE HORSE RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296116120",
            "telephone_number": "864-331-0560",
            "fax_number": "864-241-9277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 E Greenville St",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "SC",
            "postal_code": "296211580",
            "country_code": "US",
            "telephone_number": "864-512-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOWE",
        "first_name": "FANIKA",
        "middle_name": "DELSAE",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-06",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "SC",
            "license": "21431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.