Individual provider Active NPI

Katy Lockhart, D.O.

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1376905729
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
007473 Issued in AZ
Practice address
350 W Thomas Rd
Phoenix, AZ 85013-4409
Phone
(602) 406-6000
NPI assigned
Mar 24, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 007473 AZ Primary

Addresses

Primary practice location

350 W Thomas Rd
Phoenix, AZ 85013-4409

Mailing address

5810 W Charter Oak Rd
Glendale, AZ 85304-1829
Phone (623) 584-9326

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191024001034 AZ Practitioner - Family Practice 7719219732 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice of the Valley Family Medicine CurrentSince Nov 14, 2022 Accepting new patients
Cigna Health Care of Arizona Inc. CurrentSince Sep 3, 2019 Accepting new patients
Cigna Healthcare of Arizona, Inc. Current Accepting new patients
Hospice of the Valley Family Medicine CurrentSince Nov 14, 2022 Accepting new patients
Cigna Healthcare of Arizona, Inc. CurrentSince Sep 3, 2019 Accepting new patients

Locations

5891 W Eugie Ave
Glendale, AZ 85304
Phone (602) 588-6600

21731 N 77th Ave
Ste 1300
Peoria, AZ 85382
Phone (623) 561-3300

9069 W Thunderbird Rd
Peoria, AZ 85381
Phone (623) 876-2800

350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001

1510 E Flower St
Phoenix, AZ 85014
Phone (602) 530-6900

8888 E Raintree Dr
Fl 3
Scottsdale, AZ 85260

13991 W Grand Ave
Ste 105
Surprise, AZ 85374
Phone (623) 455-7800

Organizations & group practices 5

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": "1458777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1376905729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5810 W CHARTER OAK RD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853041829",
            "telephone_number": "623-584-9326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134409",
            "telephone_number": "602-406-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKHART",
        "first_name": "KATY",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-24",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "007473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.