Active NPI
Donna Ward Lockhart
- Speech-Language Pathologist
- Grundy, VA
National Provider Identifier
1194229286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2203000289
- Practice address
- 1176 Booth Branch Rd
Grundy, VA 24614-7049 - Phone
- (276) 935-4551
- NPI assigned
- Mar 22, 2018
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2203000289 | VA | Primary |
Addresses
Primary practice location
1176 Booth Branch Rd
Grundy, VA 24614-7049
Mailing address
1176 Booth Branch Rd
Grundy, VA 24614-7049
Phone (276) 935-4551
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2203000289 | Other | VA | BOARD OF AUDIOLOGY AND SPEECH-LANGUAGE PATHOLOGY |
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 |
|---|---|---|---|
| 2203000289 | VA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521676800000",
"number": "1194229286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1176 BOOTH BRANCH RD",
"city": "GRUNDY",
"state": "VA",
"postal_code": "246147049",
"telephone_number": "276-935-4551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1176 BOOTH BRANCH RD",
"city": "GRUNDY",
"state": "VA",
"postal_code": "246147049",
"telephone_number": "276-935-4551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOCKHART",
"first_name": "DONNA",
"middle_name": "WARD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-22",
"last_updated": "2018-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2203000289",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF AUDIOLOGY AND SPEECH-LANGUAGE PATHOLOGY",
"identifier": "2203000289",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grundy, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.