Individual provider Active NPI

Whitney Lynn Lockwood, CNP

  • Family Nurse Practitioner
  • Crawfordville, FL
National Provider Identifier
1063073336
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11012461 Issued in FL
Practice address
15 Council Moore Rd
Crawfordville, FL 32327-3117
Phone
(850) 926-7105
Fax
(850) 926-2034
NPI assigned
Jun 26, 2019
Last updated
Aug 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.024998 OH
Family Nurse Practitioner 363LF0000X APRN11012461 FL Primary

Addresses

Primary practice location

15 Council Moore Rd
Crawfordville, FL 32327-3117

Mailing address

15 Council Moore Rd
Crawfordville, FL 32327-3117
Phone (850) 926-7105

Other identifiers 1

IdentifierTypeStateIssuer
0356336MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210921002179 FL Practitioner - Nurse Practitioner 8426385618 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

15 Council Moore Rd
Crawfordville, FL 32327-3117
Phone (850) 926-7105

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tallahassee Memorial Healthcare Inc CurrentSince Sep 12, 2022 Accepting new patients
Tallahassee Memorial Healthcare Inc CurrentSince Sep 12, 2022 Accepting new patients
Tallahassee Memorial Healthcare Inc Current Accepting new patients
Tallahassee Memorial Healthcare Inc Current Accepting new patients
Tallahassee Primary Care Associates, PA CurrentSince Nov 1, 2021 Accepting new patients
Tallahassee Medical Group, PLLC PastSince Nov 1, 2021 Accepting new patients

Locations

15 Council Moore Rd
Crawfordville, FL 32327
Phone (850) 926-7105

1803 Miccosukee Commons Dr
Tallahassee, FL 32308
Phone (850) 297-0114

2623 Centennial Blvd
Ste 204
Tallahassee, FL 32308
Phone (850) 702-5007

Interoperability endpoints

  • Direct secure messaging: whitneylockwood@tmhpp.allscriptsdirect.net
  • Direct secure messaging: wlockwood21993@tallahasseememorial.direct-ci.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1063073336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 COUNCIL MOORE RD",
            "city": "CRAWFORDVILLE",
            "state": "FL",
            "postal_code": "323273117",
            "telephone_number": "850-926-7105",
            "fax_number": "850-926-2034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 COUNCIL MOORE RD",
            "city": "CRAWFORDVILLE",
            "state": "FL",
            "postal_code": "323273117",
            "telephone_number": "850-926-7105",
            "fax_number": "850-926-2034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKWOOD",
        "first_name": "WHITNEY",
        "middle_name": "LYNN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-26",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.024998",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11012461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0356336",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crawfordville, FL

Sources for this page

Verify at the official NPI Registry.