Provider Demographics
NPI:1841385069
Name:LOWE, JUDITH (ARNP, CNM)
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:
Last Name:LOWE
Suffix:
Gender:F
Credentials:ARNP, CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:905 SPRUCE ST.
Mailing Address - Street 2:STE. 300
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104
Mailing Address - Country:US
Mailing Address - Phone:206-461-6935
Mailing Address - Fax:206-461-8382
Practice Address - Street 1:4400 37TH AVE S
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98118-1609
Practice Address - Country:US
Practice Address - Phone:206-461-6957
Practice Address - Fax:206-461-7810
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2011-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00100387163WW0101X
WAAP30002055363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA9606203Medicaid
AB38298Medicare ID - Type UnspecifiedRAINIER BEACH CLINIC
S94098Medicare UPIN
AB34934Medicare ID - Type UnspecifiedRAINIERPARK CLINIC
AB28580Medicare ID - Type UnspecifiedMIDWIFERY CLINIC
WA9606203Medicaid
AB34943Medicare ID - Type UnspecifiedHIGH POINT CLINIC
AB38290Medicare ID - Type Unspecified45TH ST CLINIC