Healthcare Provider Details

I. General information

NPI: 1811860679
Provider Name (Legal Business Name): NATASHA NORINE LOWE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/27/2025
Last Update Date: 09/27/2025
Certification Date: 09/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1093 NEW CLEAR BRANCH RD
ROCKY TOP TN
37769-5625
US

IV. Provider business mailing address

1093 NEW CLEAR BRANCH RD
ROCKY TOP TN
37769-5625
US

V. Phone/Fax

Practice location:
  • Phone: 423-437-7733
  • Fax:
Mailing address:
  • Phone: 423-437-7733
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License NumberLPN0000079738
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code364SH0200X
TaxonomyHome Health Clinical Nurse Specialist
License NumberLPN0000079738
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License NumberLPN0000079738
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: