Active NPI
Jed W Lowy, APRN
- Nurse Practitioner
- Stowe, VT
National Provider Identifier
1972543247
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Aug 20, 2018.
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1010011353
- Practice address
- 1878 Mountain Road
Stowe, VT 05672 - Phone
- (802) 253-4853
- Fax
- (802) 253-2587
- NPI assigned
- Jun 7, 2006
- Last updated
- Feb 16, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1010011353 | VT | Primary |
Addresses
Primary practice location
1878 Mountain Road
Stowe, VT 05672
Mailing address
PO Box 749
Morrisville, VT 05661-0749
Phone (802) 851-8603
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6795901 | Other | VT | FLETCHER ALLEN PREFERRED |
| 053 19065 | Other | VT | BLUE CROSS BLUE SHIELD |
| 053 19065 | Other | VT | VERMONT MANAGED CARE |
| ONP0514 | Medicaid | VT | |
| 362870 | Other | VT | MVP |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1010011353 | VT | MD | Nurse Practitioner |
Interoperability endpoints
- jed.lowy@chslv.eclinicaldirectplus.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329350400000",
"number": "1972543247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 749",
"city": "MORRISVILLE",
"state": "VT",
"postal_code": "056610749",
"telephone_number": "802-851-8603",
"fax_number": "802-851-8313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1878 MOUNTAIN ROAD",
"city": "STOWE",
"state": "VT",
"postal_code": "05672",
"telephone_number": "802-253-4853",
"fax_number": "802-253-2587"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOWY",
"first_name": "JED",
"middle_name": "W",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2012-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "VT",
"license": "1010011353",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLETCHER ALLEN PREFERRED",
"identifier": "6795901",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "053 19065",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VERMONT MANAGED CARE",
"identifier": "053 19065",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ONP0514",
"state": "VT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "362870",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stowe, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.