Active NPI
Wesley James Lockman, FNP-BC, RN
- Family Nurse Practitioner
- Statesville, NC
National Provider Identifier
1194379123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5012124
- Practice address
- 700 Sullivan Rd
Statesville, NC 28677-3440 - Phone
- (704) 924-9111
- NPI assigned
- Jul 29, 2019
- Last updated
- Mar 30, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5012124 | NC | |
| Family Nurse Practitioner | 363LF0000X | 5012124 | NC | Primary |
| Registered Nurse | 163W00000X | 195110 | NC |
Addresses
Primary practice location
700 Sullivan Rd
Statesville, NC 28677-3440
Mailing address
PO Box 1845
Statesville, NC 28687-1845
Phone (704) 873-4277
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5012124 | NC | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680134400000",
"number": "1194379123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1845",
"city": "STATESVILLE",
"state": "NC",
"postal_code": "286871845",
"telephone_number": "704-873-4277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 SULLIVAN RD",
"city": "STATESVILLE",
"state": "NC",
"postal_code": "286773440",
"telephone_number": "704-924-9111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOCKMAN",
"first_name": "WESLEY",
"middle_name": "JAMES",
"credential": "FNP-BC, RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-29",
"last_updated": "2023-03-30",
"certification_date": "2023-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5012124",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5012124",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NC",
"license": "195110",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Statesville, NC
- Shannon Brooke Little, RN; BSN
- Chaqueenia Yvette Livingston, MA, NCC, LCMHC
- Jamie Marie Lockard, FNP-C
- Ruby Jane Locke, PTA
- April Dawn Lockman, FNP
- Wolfgang Erich Lohrmann, MD
- Matthew Robert Lohwater, DDS
- Londry & Modlin X DDS PLLC (Statesville Dental)
- Londry & Modlin Xiv DDS PLLC (Justice Family Dentistry)
- Londry Modlin Tucker DDS PLLC (Happy Teeth)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.