Active NPI
Alicia M Lockard, DNP, APRN
- Adult Health Nurse Practitioner
- Fayetteville, AR
National Provider Identifier
1366806259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- A006153
- Practice address
- 2907 E Joyce Blvd Ste 5
Fayetteville, AR 72703-5390 - Phone
- (479) 841-7795
- Fax
- (512) 549-8481
- NPI assigned
- Apr 7, 2016
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | A006153 | AR | |
| Gerontology Nurse Practitioner | 363LG0600X | A006153 | AR | |
| Adult Health Nurse Practitioner | 363LA2200X | A006153 | AR | Primary |
Addresses
Primary practice location
2907 E Joyce Blvd Ste 5
Fayetteville, AR 72703-5390
Mailing address
593 S Horsebarn Rd Ste 101
Rogers, AR 72758-8797
Phone (888) 450-9191
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A006153 | AR | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laura T Bailey Aprn PLLC | Current | Accepting new patients | |
| NV Pacs 2 LLC | Current | Accepting new patients | |
| Ipc Pac Healthcare Services of Missouri Inc | Current | Accepting new patients |
Locations
2907 E Joyce Blvd
Ste 5
Fayetteville, AR 72703
Phone (479) 212-8492
5720 W Markham St
Little Rock, AR 72205
Phone (501) 305-3153
8701 Riley Dr
Little Rock, AR 72205
Phone (501) 224-2700
Organizations & group practices 3
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.
-
- Family Nurse Practitioner
- Fayetteville, AR
- NPI 1720691678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672272000000",
"number": "1366806259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "593 S HORSEBARN RD STE 101",
"city": "ROGERS",
"state": "AR",
"postal_code": "727588797",
"telephone_number": "888-450-9191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2907 E JOYCE BLVD STE 5",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727035390",
"telephone_number": "479-841-7795",
"fax_number": "512-549-8481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOCKARD",
"first_name": "ALICIA",
"middle_name": "M",
"credential": "DNP, APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-07",
"last_updated": "2022-12-29",
"certification_date": "2022-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "AR",
"license": "A006153",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "AR",
"license": "A006153",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "AR",
"license": "A006153",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; 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.