Individual provider Active NPI

Sharon E Lock, PHD, APRN

  • Family Nurse Practitioner
  • Wilmore, KY
National Provider Identifier
1215947254
Registry record updated May 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3002521 Issued in KY
Practice address
317 E Main St
Wilmore, KY 40390-1323
Phone
(859) 858-0339
Fax
(859) 858-0341
NPI assigned
Aug 9, 2006
Last updated
May 7, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2521 KY
Family Nurse Practitioner 363LF0000X 3002521 KY Primary
Primary Care Nurse Practitioner 363LP2300X 2521 KY

Addresses

Primary practice location

317 E Main St
Wilmore, KY 40390-1323

Mailing address

PO Box 305
Stilwell, KS 66085-0305
Phone (913) 951-3588

Other identifiers 1

IdentifierTypeStateIssuer
78004413MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
3002521KYMDFamily Nurse Practitioner
2521KYMDPrimary Care Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: slock16651@ukhcdirect.org

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430956800000",
    "number": "1215947254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 305",
            "city": "STILWELL",
            "state": "KS",
            "postal_code": "660850305",
            "telephone_number": "913-951-3588",
            "fax_number": "713-344-9420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 E MAIN ST",
            "city": "WILMORE",
            "state": "KY",
            "postal_code": "403901323",
            "telephone_number": "859-858-0339",
            "fax_number": "859-858-0341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCK",
        "first_name": "SHARON",
        "middle_name": "E",
        "credential": "PHD, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2015-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "2521",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3002521",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "KY",
            "license": "2521",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78004413",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmore, KY

Sources for this page

Verify at the official NPI Registry.