Lesa Renee Lock, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

264824 Issued in AZ

Practice address

2000 Highway 95 Ste 200
Bullhead City, AZ 86442-6057

Phone

(928) 758-1175

NPI assigned

Sep 28, 2021

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

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tri-State Orthopedic Institute, P.C.Group PAC ID 8022095694, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• 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.

• Tri-State Orthopedic Institute, P.C.

  • Orthopaedic Surgery Physician
  • Bullhead City, AZ
  • NPI 1518932094
  Medicare reassignment Care Compare group NPD
• Kingman Healthcare, Inc

  • General Acute Care Hospital
  • Kingman, AZ
  • NPI 1265423917
  Medicare reassignment
• Tri State Care Flight, LLC

  • Air Ambulance
  • Greenwood Village, CO
  • NPI 1508813379
  NPD (past)

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1366114308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 HIGHWAY 95 STE 200",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864426057",
            "telephone_number": "928-758-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 HIGHWAY 95 STE 200",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864426057",
            "telephone_number": "928-758-1175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCK",
        "first_name": "LESA",
        "middle_name": "RENEE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-28",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "264824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Ann Linville-Petrik, PT
• Lion Clinical Services LLC
• Angela Marie Lipinski, FNP-C
• Brielle Lynn Lira, DMD
• Robert L Lock, II, D.O.
• Andrew Longner, DC
• Martin Edward Longner, D.C.
• Savannah Ebony Love, PHLEBOTOMIST
• Samantha Lucero
• Shelly Lynn Lupian, LDO

• Nurse Practitioner in Bullhead City, AZ
• Providers in Bullhead City, AZ by specialty
• Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; 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.

Verify at the official NPI Registry.