Active NPI
Carolyn Lockwood
- Peer Specialist
- Hempstead, NY
National Provider Identifier
1124558259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- 759
- Practice address
- 250 Fulton Ave Ste 418
Hempstead, NY 11550-3916 - Phone
- (718) 374-5949
- Fax
- (646) 374-3955
- NPI assigned
- Jun 12, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | 759 | NY | Primary |
Addresses
Primary practice location
250 Fulton Ave Ste 418
Hempstead, NY 11550-3916
Mailing address
13728 229TH St
Laurelton, NY 11413-2823
Phone (718) 527-3592
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 |
|---|---|---|---|
| 759 | NY | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1497225600000",
"number": "1124558259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13728 229TH ST",
"city": "LAURELTON",
"state": "NY",
"postal_code": "114132823",
"telephone_number": "718-527-3592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 FULTON AVE STE 418",
"city": "HEMPSTEAD",
"state": "NY",
"postal_code": "115503916",
"telephone_number": "718-374-5949",
"fax_number": "646-374-3955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOCKWOOD",
"first_name": "CAROLYN",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-12",
"last_updated": "2017-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "NY",
"license": "759",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hempstead, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.