Active NPI
Andrea Claire Lockard, MS, RDN
- Registered Dietitian
- Kannapolis, NC
National Provider Identifier
1043941693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 201 Dale Earnhardt Blvd Ste 201
Kannapolis, NC 28081-0308 - Phone
- (704) 403-7431
- NPI assigned
- Jun 23, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
201 Dale Earnhardt Blvd Ste 201
Kannapolis, NC 28081-0308
Mailing address
201 Dale Earnhardt Blvd Ste 201
Kannapolis, NC 28081-0308
Phone (704) 403-7431
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Appalachian State University | Current | Accepting new patients | |
| Appalachian State University | Dietitian, Registered | Current | Accepting new patients |
Locations
1179 State Farm Rd
#132
Boone, NC 28607
1179 State Farm Rd
Ste 132
Boone, NC 28607
Phone (828) 262-8658
Organizations & group practices 2
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.
-
- Hearing and Speech Clinic/Center
- Boone, NC
- NPI 1851387286
-
- Family Medicine Physician
- Boone, NC
- NPI 1376794255
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722816000000",
"number": "1043941693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 DALE EARNHARDT BLVD STE 201",
"city": "KANNAPOLIS",
"state": "NC",
"postal_code": "280810308",
"telephone_number": "704-403-7431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 DALE EARNHARDT BLVD STE 201",
"city": "KANNAPOLIS",
"state": "NC",
"postal_code": "280810308",
"telephone_number": "704-403-7431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOCKARD",
"first_name": "ANDREA",
"middle_name": "CLAIRE",
"credential": "MS, RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-23",
"last_updated": "2024-08-05",
"certification_date": "2022-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kannapolis, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.