Kymberly Danielle Lockard, APRN

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

209025649 Issued in IL

Practice address

505 E Grant St Ste 103
Macomb, IL 61455-3308

Phone

(309) 833-1303

Fax

(309) 836-5729

NPI assigned

Sep 2, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kymberly.lockard.p1@direct.mgm.nextgenshare.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Medical Group of Macomb, LLC

  • Internal Medicine Physician
  • Macomb, IL
  • NPI 1356430664

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1662076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1295455756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 E GRANT ST STE 103",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614553308",
            "telephone_number": "309-833-1303",
            "fax_number": "309-836-5729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 E GRANT ST STE 103",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614553308",
            "telephone_number": "309-833-1303",
            "fax_number": "309-836-5729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKARD",
        "first_name": "KYMBERLY",
        "middle_name": "DANIELLE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-02",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "209025649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Monita Lippens, LCSW
• Jessica Charlotte Litchfield
• Kaitlyn Little
• Qinghui Liu, APRN
• Living Consciously Mental Health LLC
• Mary Kathleen Lockard, M.D.
• Dorothy J Loop, RN
• Jody Lee Loop, P.T.
• Amy Louck Davis, PSYD
• Camryn Lound, MSAT, LAT, ATC

• Pediatrics Physician in Macomb, IL
• Providers in Macomb, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.