Active NPI
Cheryl R Axford-Lockhart, ARNP
- Women's Health Nurse Practitioner
- Issaquah, WA
National Provider Identifier
1447259692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- AP30005892
- Practice address
- 751 NE Blakely Dr
Suite 2030
Issaquah, WA 98029-6201 - Phone
- (425) 313-7080
- Fax
- (425) 313-7071
- NPI assigned
- Jul 19, 2005
- 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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | AP30005892 | WA | Primary |
Addresses
Primary practice location
751 NE Blakely Dr
Suite 2030
Issaquah, WA 98029-6201
Mailing address
PO Box 25608
Salt Lake City, UT 84125-0608
Phone (206) 320-4476
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9639360 | Medicaid | WA |
Other names 1
- Cheryl R Axford-Dixon
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP30005892 | WA | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Overlake Medical Clinics, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Bellevue, WA
- NPI 1801828421
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450224000000",
"number": "1447259692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25608",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841250608",
"telephone_number": "206-320-4476",
"fax_number": "206-568-7043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "751 NE BLAKELY DR",
"address_2": "SUITE 2030",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980296201",
"telephone_number": "425-313-7080",
"fax_number": "425-313-7071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AXFORD-LOCKHART",
"first_name": "CHERYL",
"middle_name": "R",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-19",
"last_updated": "2015-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "WA",
"license": "AP30005892",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9639360",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHERYL",
"last_name": "AXFORD-DIXON",
"middle_name": "R",
"credential": "ARNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Issaquah, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.