Active NPI
Linda Lock
- Addiction (Substance Use Disorder) Registered Nurse
- Hayti, MO
National Provider Identifier
1003343567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Registered Nurse
- License
- 2008021172
- Practice address
- 500 State Highway J
Hayti, MO 63851-1200 - Phone
- (573) 359-2600
- NPI assigned
- May 16, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 2008021172 | MO | |
| Nutrition Support Registered Nurse | 163WN1003X | 2008021172 | MO | |
| Pain Management Registered Nurse | 163WP0000X | 2008021172 | MO | |
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 2008021172 | MO | |
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | 2008021172 | MO | Primary |
Addresses
Primary practice location
500 State Highway J
Hayti, MO 63851-1200
Mailing address
500 State Highway J
Hayti, MO 63851-1200
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2008021172 | MO | MD | Pain Management Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Counseling Center, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Poplar Bluff, MO
- NPI 1235738493
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494892800000",
"number": "1003343567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 STATE HIGHWAY J",
"city": "HAYTI",
"state": "MO",
"postal_code": "638511200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 STATE HIGHWAY J",
"city": "HAYTI",
"state": "MO",
"postal_code": "638511200",
"telephone_number": "573-359-2600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOCK",
"first_name": "LINDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-16",
"last_updated": "2017-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MO",
"license": "2008021172",
"primary": false
},
{
"code": "163WN1003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Nutrition Support",
"state": "MO",
"license": "2008021172",
"primary": false
},
{
"code": "163WP0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pain Management",
"state": "MO",
"license": "2008021172",
"primary": false
},
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "MO",
"license": "2008021172",
"primary": false
},
{
"code": "163WA0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Addiction (Substance Use Disorder)",
"state": "MO",
"license": "2008021172",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hayti, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.