Individual provider Active NPI

Lowell Todd Locke, LVN

  • Licensed Vocational Nurse
  • Bakersfield, CA
National Provider Identifier
1477750875
Registry record updated Dec 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
VN171265 Issued in CA
Practice address
13111 Jackson Lake Dr
Bakersfield, CA 93314-9851
Phone
(661) 800-6825
NPI assigned
Jun 28, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X VN171265 CA Primary

Addresses

Primary practice location

13111 Jackson Lake Dr
Bakersfield, CA 93314-9851

Mailing address

13111 Jackson Lake Dr
Bakersfield, CA 93314-9851
Phone (661) 800-6825

Other identifiers 2

IdentifierTypeStateIssuer
EPS016220OtherCAINDIVIDUAL NURSE PROVIDER
RVN004370OtherCAINDIVIDUAL NURSE PROVIDER

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

State licenses

LicenseStateTypeSpecialty
VN171265CAMDLicensed Vocational Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322697600000",
    "number": "1477750875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13111 JACKSON LAKE DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933149851",
            "telephone_number": "661-800-6825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13111 JACKSON LAKE DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933149851",
            "telephone_number": "661-800-6825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKE",
        "first_name": "LOWELL",
        "middle_name": "TODD",
        "name_prefix": "Mr.",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-28",
        "last_updated": "2011-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN171265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NURSE PROVIDER",
            "identifier": "EPS016220",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NURSE PROVIDER",
            "identifier": "RVN004370",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.