Timothy John Carlock, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

2012002876 Issued in MO

Practice address

833 Louwen Dr
Saint Louis, MO 63124-1803

Phone

(503) 756-7785

NPI assigned

Oct 24, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Interoperability endpoints

• Direct secure messaging: timothy.carlock@bjc.org

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1174240915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 LOUWEN DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631241803",
            "telephone_number": "503-756-7785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 LOUWEN DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631241803",
            "telephone_number": "503-756-7785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLOCK",
        "first_name": "TIMOTHY",
        "middle_name": "JOHN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2012002876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Timothy.Carlock@BJC.org",
            "affiliation": "Y",
            "endpointDescription": "direct emal",
            "affiliationName": "BJC HealthCare",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Barnes Jewish Hospital Plz",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631101003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carol Carlberg
• Jeffrey Ray Carley, MD
• Bridget Caitlyn Carlile, SLP
• Abigail A Carlisle
• Vickie Joann Carll, ANP
• Amy Carlson, AUD
• Ellen Claire Carlson, AGNP
• Jacob Larry Carlson, CRNA
• Jon Brandon Carlson, M.D.
• Natalie J Carlson, RD

• Registered Nurse in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Registered Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.