Individual provider Active NPI

Antoynae A Lockett, CNM

  • Advanced Practice Midwife
  • Oregon, OH
National Provider Identifier
1013421205
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
APRN.CNM.019352 Issued in OH
Practice address
2751 Bay Park Dr Ste 300
Oregon, OH 43616-4922
Phone
(419) 690-7596
NPI assigned
Nov 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X APRN.CNM.019352 OH Primary

Addresses

Primary practice location

2751 Bay Park Dr Ste 300
Oregon, OH 43616-4922

Mailing address

1 Seagate Ste 800
Toledo, OH 43604-1558
Phone (567) 585-1992

Other practice location 1

1922 Glen Springs Dr
Fremont, OH 43420-3229
Phone (419) 333-2798

Other names 1

  • Antoynae A Adams Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180130001752 OH Practitioner - Certified Nurse Midwife (CNM) 3779843388 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
APRN.CNM.019352OHMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Heart of Ohio Family Health Centers Current Accepting new patients
Heart of Ohio Family Health Centers CurrentSince Apr 17, 2023 Accepting new patients
Heart of Ohio Family Health Centers CurrentSince Apr 17, 2023 Accepting new patients
Winton Hills Medical & Health Center Past Accepting new patients

Locations

3601 Gender Rd
Canal Wnchstr, OH 43110
Phone (614) 235-5555

2365 Innis Rd
Columbus, OH 43224
Phone (614) 235-5555

5969 E Broad St
Ste 300
Columbus, OH 43213
Phone (614) 367-0585

495 Cooper Rd
Ste 420
Westerville, OH 43081
Phone (614) 235-5555

Interoperability endpoints

  • Direct secure messaging: aadams355083@direct.osumc.edu

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1511740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1013421205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SEAGATE STE 800",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436041558",
            "telephone_number": "567-585-1992",
            "fax_number": "419-824-7359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 BAY PARK DR STE 300",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436164922",
            "telephone_number": "419-690-7596"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1922 Glen Springs Dr",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "OH",
            "postal_code": "434203229",
            "country_code": "US",
            "telephone_number": "419-333-2798",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOCKETT",
        "first_name": "ANTOYNAE",
        "middle_name": "A",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-27",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OH",
            "license": "APRN.CNM.019352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANTOYNAE",
            "last_name": "ADAMS",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oregon, OH

Sources for this page

Verify at the official NPI Registry.