Individual provider Active NPI

Martha S Lockridge, REGISTERED NURSE

  • Registered Nurse
  • Lewisburg, TN
National Provider Identifier
1154443703
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
153234 Issued in TN
Practice address
206 Legion Ave
Lewisburg, TN 37091-2898
Phone
(931) 359-1551
Fax
(931) 359-0542
NPI assigned
Apr 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 153234 TN Primary

Addresses

Primary practice location

206 Legion Ave
Lewisburg, TN 37091-2898

Mailing address

1040 Fairmont Dr
Columbia, TN 38401-7709
Phone (931) 381-4146

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

LicenseStateTypeSpecialty
153234TNMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154443703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 FAIRMONT DR",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384017709",
            "telephone_number": "931-381-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 LEGION AVE",
            "city": "LEWISBURG",
            "state": "TN",
            "postal_code": "370912898",
            "telephone_number": "931-359-1551",
            "fax_number": "931-359-0542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKRIDGE",
        "first_name": "MARTHA",
        "middle_name": "S",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "153234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisburg, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.