Active NPI
Olivia Shea Locker, MD
- Family Medicine Physician
- Putnam, CT
National Provider Identifier
1336218304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 53961
- Practice address
- 554 Liberty Hwy Ste 3
Putnam, CT 06260-2728 - Phone
- (860) 481-2950
- Fax
- (860) 955-2740
- NPI assigned
- Nov 6, 2006
- Last updated
- Oct 7, 2026
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 53961 | CT | Primary |
Addresses
Primary practice location
554 Liberty Hwy Ste 3
Putnam, CT 06260-2728
Mailing address
PO Box 111
Putnam, CT 06260-0111
Phone (860) 481-2950
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008062229 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Emory University School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
5 A Sunset Ave
Putnam, CT 06260-2915
Phone (860) 481-2950
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Putnam, CT
- NPI 1922479369
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791331200000",
"number": "1336218304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 111",
"city": "PUTNAM",
"state": "CT",
"postal_code": "062600111",
"telephone_number": "860-481-2950",
"fax_number": "800-955-2740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "554 LIBERTY HWY STE 3",
"city": "PUTNAM",
"state": "CT",
"postal_code": "062602728",
"telephone_number": "860-481-2950",
"fax_number": "860-955-2740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOCKER",
"first_name": "OLIVIA",
"middle_name": "SHEA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-06",
"last_updated": "2026-10-07",
"certification_date": "2026-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CT",
"license": "53961",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008062229",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Putnam, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.