Active NPI
Rebecca Jane Lockhart, ARNP
- Nurse Practitioner
- Louisville, KY
National Provider Identifier
1174521660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 3004432
- Practice address
- 3900 Kresge Way
Suite 42
Louisville, KY 40207-4660 - Phone
- (502) 894-9499
- Fax
- (502) 894-9595
- NPI assigned
- Jul 8, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 3004432 | KY | Primary |
Addresses
Primary practice location
3900 Kresge Way
Suite 42
Louisville, KY 40207-4660
Mailing address
PO Box 950248
Louisville, KY 40295-0248
Phone (502) 489-5730
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200507950 | Medicaid | IN | |
| PENDING | Medicaid | KY |
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)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kentuckiana Ear, Nose & Throat PSC | Nurse Practitioner | Past | Accepting new patients |
| ENT Care Centers PLLC | Nurse Practitioner | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Otolaryngology Physician
- Louisville, KY
- NPI 1194771592
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422230400000",
"number": "1174521660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 950248",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402950248",
"telephone_number": "502-489-5730",
"fax_number": "502-489-5753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 KRESGE WAY",
"address_2": "SUITE 42",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074660",
"telephone_number": "502-894-9499",
"fax_number": "502-894-9595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOCKHART",
"first_name": "REBECCA",
"middle_name": "JANE",
"name_prefix": "Ms.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-08",
"last_updated": "2015-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "3004432",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200507950",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.