Active NPI
Kelli Locke, NP
- Family Nurse Practitioner
- Leominster, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN2266517
- Practice address
- 225 New Lancaster Rd
Leominster, MA 01453-4958 - Phone
- (978) 466-3208
- Fax
- (978) 840-1680
- NPI assigned
- Jul 17, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN2266517 | MA | |
| Family Nurse Practitioner | 363LF0000X | RN2266517 | MA | Primary |
Addresses
Primary practice location
225 New Lancaster Rd
Leominster, MA 01453-4958
Mailing address
225 New Lancaster Rd
Leominster, MA 01453-4958
Phone (978) 466-3208
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110110519A | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
225 New Lancaster Rd
Leominster, MA 01453-4958
Phone (978) 534-6500
234 Washington St
Hudson, MA 01749-3735
Phone (508) 595-2700
241 N Main St
Leominster, MA 01453-2219
Phone (508) 595-2700
460 Southbridge St
Auburn, MA 01501-2442
Phone (508) 595-2700
5 Neponset St
Worcesteer, MA 01606-2714
Phone (508) 595-2300
Hospital & facility affiliations
- Care Central Vna & Hospice Inc
- Umass Memorial Healthalliance Hospitals
- Heywood Hospital -
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2266517 | MA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emerson Practice Associates, Inc. | Nurse Practitioner | Current | Accepting new patients |
| Reliant Medical Group, Inc | Current | Accepting new patients | |
| Reliant Medical Group, Inc | Past | Accepting new patients |
Locations
460 Southbridge St
Auburn, MA 01501
Phone (508) 595-2700
133 Ornac
Concord, MA 01742
Phone (978) 287-3000
38 Highland Cmn E
Hudson, MA 01749
Phone (978) 287-8990
225 New Lancaster Rd
Leominster, MA 01453
Phone (978) 466-3208
830 Constitution Ave
Littleton, MA 01460
Phone (978) 287-8990
5 Neponset St
#2
Worcester, MA 01606
5 Neponset St
Worcester, MA 01606
Phone (508) 595-2300
Interoperability endpoints
- kelli.locke.npi1184008278.reliant@direct.optumcare.masshiway.net
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Worcester, MA
- NPI 1720017528
-
- Internal Medicine Physician
- Concord, MA
- NPI 1508020199
Nurse Practitioner
-
- Physical Therapist
- Worcester, MA
- NPI 1295827962
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Gardner, MA
- NPI 1477526705
-
- General Acute Care Hospital
- Gardner, MA
- NPI 1205823879
-
- General Acute Care Hospital
- Leominster, MA
- NPI 1013995133
-
- Psychiatric Hospital Unit
- Clinton, MA
- NPI 1285171934
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720656000000",
"number": "1184008278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 NEW LANCASTER RD",
"city": "LEOMINSTER",
"state": "MA",
"postal_code": "014534958",
"telephone_number": "978-466-3208",
"fax_number": "978-840-1680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 NEW LANCASTER RD",
"city": "LEOMINSTER",
"state": "MA",
"postal_code": "014534958",
"telephone_number": "978-466-3208",
"fax_number": "978-840-1680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOCKE",
"first_name": "KELLI",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-17",
"last_updated": "2024-07-11",
"certification_date": "2024-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MA",
"license": "RN2266517",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "RN2266517",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110110519A",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Leominster, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.