Active NPI
Teresa M Lockwood, CRNP
- Family Nurse Practitioner
- York, PA
National Provider Identifier
1235217688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP008818
- Practice address
- 2350 Freedom Way
York, PA 17402-8200 - Phone
- (717) 851-7315
- Fax
- (717) 741-3056
- NPI assigned
- Nov 2, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | SP008818 | PA | |
| Family Nurse Practitioner | 363LF0000X | SP008818 | PA | Primary |
Addresses
Primary practice location
2350 Freedom Way
York, PA 17402-8200
Mailing address
3421 Concord Rd
York, PA 17402-9001
Phone (717) 851-7315
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50058133 | Other | PA | CAPITAL BLUECROSS |
| 1015901830001 | Medicaid | PA | |
| 953160 | Other | MD | CAREFIRST MD BCBS |
| 1910351 | Other | PA | HIGHMARK BLUE SHIELD |
Other names 1
- Teresa Miller
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
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598572800000",
"number": "1235217688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3421 CONCORD RD",
"city": "YORK",
"state": "PA",
"postal_code": "174029001",
"telephone_number": "717-851-7315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2350 FREEDOM WAY",
"city": "YORK",
"state": "PA",
"postal_code": "174028200",
"telephone_number": "717-851-7315",
"fax_number": "717-741-3056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOCKWOOD",
"first_name": "TERESA",
"middle_name": "M",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-02",
"last_updated": "2020-08-28",
"certification_date": "2020-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "SP008818",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP008818",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUECROSS",
"identifier": "50058133",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1015901830001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST MD BCBS",
"identifier": "953160",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "1910351",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TERESA",
"last_name": "MILLER",
"code": "1",
"type": "Former Name"
}
]
}Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.