Active NPI
Sara Madrid Lockman
- Case Manager/Care Coordinator
- Portland, OR
National Provider Identifier
1407671985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 1111 E Burnside St Ste 100
Portland, OR 97214-1850 - Phone
- (503) 567-8407
- NPI assigned
- Nov 19, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
1111 E Burnside St Ste 100
Portland, OR 97214-1850
Mailing address
3519 NE 15TH Ave.,
PMB# 327
Portland, OR 97212
Phone (503) 729-2723
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733356800000",
"number": "1407671985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3519 NE 15TH AVE.,",
"address_2": "PMB# 327",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97212",
"telephone_number": "503-729-2723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 E BURNSIDE ST STE 100",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972141850",
"telephone_number": "503-567-8407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOCKMAN",
"first_name": "SARA",
"middle_name": "MADRID",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-19",
"last_updated": "2024-12-05",
"certification_date": "2024-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.