JACKLYN LOWRY (NPI# 1487023446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487023446 |
| Entity Type | Individual |
| Full Name | JACKLYN LOWRY |
| Credential | LPN |
| Practice Address |
512 E Main St Park Hills MO 63601-2624 |
| Mailing Address |
Po Box 459 Farmington MO 63640-0459 |
| Practice Telephone | 5734310554 |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2015-09-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 2007028314 | MO | Nursing Service Providers |
| Street Address |
512 E MAIN ST |
| City | PARK HILLS |
| State | MO |
| Zip Code | 63601-2624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487109328 | Cornerstone Adhc, LLC | Clinic/Center | 512 E Main St, Suite A, Park Hills, MO 63601-2624 | 2016-08-21 |
| 1205207545 | Cynthia Basler | Registered Nurse | 512 E Main St, Park Hills, MO 63601-2624 | 2015-10-13 |
| 1104293869 | Susan Mccarron | Licensed Practical Nurse | 512 E Main St, Park Hills, MO 63601-2624 | 2015-08-28 |
| 1124404538 | Michelle Woods | Counselor | 512 E Main St, Park Hills, MO 63601-2624 | 2015-08-07 |
| 1386029114 | Luann Williams | Counselor | 512 E Main St, Park Hills, MO 63601-2624 | 2015-07-22 |
| 1053795005 | Southeast Missouri Behavioral Health | Community/Behavioral Health | 512 E Main St, Park Hills, MO 63601-2624 | 2015-07-18 |
| 1770963894 | Jewell Frago | Registered Nurse | 512 E Main St, Park Hills, MO 63601-2624 | 2015-06-03 |
| 1174917959 | Donna Joyce | Registered Nurse | 512 E Main St, Park Hills, MO 63601-2624 | 2015-03-19 |
| 1669876116 | Heather Lalumondiere | Registered Nurse | 512 E Main St, Park Hills, MO 63601-2624 | 2014-10-13 |
| 1427457654 | Christin Lewis | Registered Nurse | 512 E Main St, Park Hills, MO 63601-2624 | 2014-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134611510 | Angela Dawn Ibaviosa | Pharmacist | Parkland Health Mart 617 N. Cowling Ste G, Desloge, MO 63601 | 2018-06-01 |
| 1881101376 | Julie Brischle | Dietitian, Registered | 1025 W. Main Street, P.o. Box 367, Park Hills, MO 63601 | 2018-01-05 |
| 1962810770 | Anns Place | Assisted Living Facility | 351 Keith Street, Park Hills, MO 63601 | 2014-07-24 |
| 1770995474 | Richard Barton | Physical Therapist | 1301 N. Saint Joe Dr., Park Hills, MO 63601 | 2014-05-29 |
| 1871927350 | Marcella Darlynn Williams | Occupational Therapist | 800 Brim Street, Desloge, MO 63601 | 2013-09-03 |
| 1356773287 | Mckenzie Lee Kaughman | Occupational Therapy Assistant | 801 Brim Street, Desloge, MO 63601 | 2013-08-02 |
| 1720292022 | Dwayne Patrick Smith | Physical Therapy Assistant | 1103 Koen Creek Ct. Apt. A, Park Hills, MO 63601 | 2007-05-09 |
| 1710078324 | Martha A Mcmurry | Counselor | 512 East Main St., Park Hills, MO 63601 | 2006-09-27 |
| 1083184667 | Scarlet Barron | General Practice | 223 W. Main St., Park Hills, MO 63601 | 2018-11-27 |
| 1104175090 | Jon Lee Clauser | Physical Therapy Assistant | 801 Brim St, Deslodge, MO 63601 | 2012-09-06 |
| Find all providers in zip 63601 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982078754 | Patricia Stubbs | Licensed Practical Nurse | 514b E Main St, Park Hills, MO 63601-2634 | 2015-11-17 |
| 1104293869 | Susan Mccarron | Licensed Practical Nurse | 512 E Main St, Park Hills, MO 63601-2624 | 2015-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871190470 | Show Me Care Quality Staffing, Inc. | Licensed Practical Nurse | 711 Old Ballas Rd Ste 220, Creve Coeur, MO 63141-7069 | 2020-10-06 |
| 1609481969 | Kelei Mitchell | Licensed Practical Nurse | 906 Eichelberger St, Saint Louis, MO 63111-1603 | 2020-09-14 |
| 1144832478 | Maryann Partee | Licensed Practical Nurse | 720 Teson Rd, Hazelwood, MO 63042-3334 | 2020-08-18 |
| 1649897547 | Cheryl Vetter | Licensed Practical Nurse | 1034 S Brentwood Blvd Ste 1540, Saint Louis, MO 63117-1229 | 2020-06-26 |
| 1639792203 | Johnny Dell Huffman | Licensed Practical Nurse | 13834 Parks Steed Dr, Earth City, MO 63045-1405 | 2020-05-18 |
| 1518588052 | Sharon Denise Cox | Licensed Practical Nurse | 4045 Ashbury Crossings Dr, Florissant, MO 63034 | 2020-05-06 |
| 1619515236 | Sherri Mcmeans | Licensed Practical Nurse | 1098 Ne Independence Ave, Lees Summit, MO 64086-5218 | 2019-12-13 |
| 1538703020 | Gregory Charles Womack Sr. | Licensed Practical Nurse | 4929 Wise Ave, Saint Louis, MO 63110-1418 | 2019-10-29 |
| 1437790227 | Prestige Home Health Care L.l.c | Licensed Practical Nurse | 1428 S Pearl St, Independence, MO 64055-1430 | 2019-10-02 |
| 1871140293 | Teresa Ann Warfield | Licensed Practical Nurse | 104 Bartley Ln, Fulton, MO 65251-2139 | 2019-08-21 |
| Find all providers with the same taxonomy | ||||
| City | PARK HILLS |
| Zip Code | 63601 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.