Shae Nicole Lowry
Speech-Language Pathologist, in O Fallon, IL. Individual provider (NPI-1).
NPI number1346768751
StatusActive
Last updated in NPPESMar 21, 2025
Details
- NPI
- 1346768751
- Entity type
- Individual (NPI-1)
- Name
- Shae Nicole Lowry
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 6, 2017
- Certification date
- Mar 21, 2025
- Last updated
- Mar 21, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 146014142 | IL | Yes |
Other names
- Shae Nicole Eblin (Former Name)
Practice location
634 N Main St Ste 3O Fallon, IL 62269-3746
Phone 618-315-9601
Mailing address
37 S 86th StBelleville, IL 62223-1615
Phone 618-315-9601
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 72 Speech-Language Pathologist providers in O Fallon · All 1,289 providers in O Fallon
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