Shirley Locke

Primary specialty

Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X

License

041404657 Issued in IL

Practice address

14516 Thomas Jefferson Dr
Plainfield, IL 60544-4423

Phone

(708) 955-1425

NPI assigned

Jan 2, 2020

Last updated

Jan 2, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1577923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577923200000",
    "number": "1073152468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 N ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606071802",
            "telephone_number": "312-850-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14516 THOMAS JEFFERSON DR",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605444423",
            "telephone_number": "708-955-1425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKE",
        "first_name": "SHIRLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-02",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "041404657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lindahl
• Javanese Ling
• Emily Lira, DPT
• Megan Little
• Jenny Lyn V Llanes
• Joan Marie Lockridge, LPC
• Melanie Lodder, MS, ATC
• Dawn Nicole Long
• Rachel Long
• Carla Elsa Lopez, LMT

• Addiction (Substance Use Disorder) Registered Nurse in Plainfield, IL
• Providers in Plainfield, IL by specialty
• Addiction (Substance Use Disorder) Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.