Individual provider Active NPI

Alicia M Lockard, DNP, APRN

  • Adult Health Nurse Practitioner
  • Fayetteville, AR
National Provider Identifier
1366806259
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
A006153 Issued in AR
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

Updated by the provider on Dec 29, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240524000028 AR Practitioner - Nurse Practitioner 5890137657 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
A006153ARMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Laura T Bailey Aprn PLLC CurrentSince Jan 1, 2023 Accepting new patients
NV Pacs 2 LLC CurrentSince Mar 2, 2024 Accepting new patients
Ipc Pac Healthcare Services of Missouri Inc CurrentSince Apr 14, 2024 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.

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

Verify at the official NPI Registry.