Active NPI
Sharon E Lock, PHD, APRN
- Family Nurse Practitioner
- Wilmore, KY
National Provider Identifier
1215947254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3002521
- 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, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 78004413 | Medicaid | KY |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3002521 | KY | MD | Family Nurse Practitioner |
| 2521 | KY | MD | Primary Care Nurse Practitioner |
Interoperability endpoints
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.