Active NPI
Kaitlyn Jade Locke, HAS
- Hearing Instrument Specialist
- Panama City, FL
National Provider Identifier
1205386257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- AS5226
- Practice address
- 2232 Saint Andrews Blvd
Panama City, FL 32405-2158 - Phone
- (850) 784-4327
- NPI assigned
- Oct 13, 2016
- Last updated
- Oct 13, 2016
- 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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | AS5226 | FL | Primary |
Addresses
Primary practice location
2232 Saint Andrews Blvd
Panama City, FL 32405-2158
Mailing address
405 W Highway 90
Bonifay, FL 32425-2519
Phone (850) 373-7174
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 |
|---|---|---|---|
| AS5226 | FL | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gulf Coast Hearing LLC | Past | Accepting new patients | |
| Gulf Coast Hearing Centers, Inc. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hearing Aid Equipment
- Panama City, FL
- NPI 1598805913
-
dba Gulf Coast Hearing Centers
- Hearing and Speech Clinic/Center
- Panama City, FL
- NPI 1003589151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476316800000",
"number": "1205386257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 W HIGHWAY 90",
"city": "BONIFAY",
"state": "FL",
"postal_code": "324252519",
"telephone_number": "850-373-7174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2232 SAINT ANDREWS BLVD",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324052158",
"telephone_number": "850-784-4327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOCKE",
"first_name": "KAITLYN",
"middle_name": "JADE",
"credential": "HAS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-13",
"last_updated": "2016-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "FL",
"license": "AS5226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.