Active NPI
Kimberly Eileen Lockwood, FNP-C
- Family Nurse Practitioner
- Colorado Springs, CO
National Provider Identifier
1487265773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 172643
- Practice address
- 5835 Lehman Dr Ste 101
Colorado Springs, CO 80918-3408 - Phone
- (719) 262-9283
- Fax
- (719) 262-9285
- NPI assigned
- Aug 11, 2020
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 172643 | CO | Primary |
Addresses
Primary practice location
5835 Lehman Dr Ste 101
Colorado Springs, CO 80918-3408
Mailing address
5835 Lehman Dr Ste 101
Colorado Springs, CO 80918-3408
Phone (719) 262-9283
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | klockwood@deltawaves.org | Delta Waves, Inc. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201028001312 | CO | Practitioner - Nurse Practitioner | 9133539406 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Delta Waves Inc
Practice addresses (Care Compare)
5835 Lehman Dr
Suite 101
Colorado Springs, CO 80918-3408
Phone (719) 262-9283
Hospital & facility affiliations
- Uch-Memorial Health System
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 172643 | CO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delta Waves, Inc. | Current | Accepting new patients | |
| Delta Waves of Woodland Park Inc | Past | Accepting new patients |
Locations
5835 Lehman Dr
Ste 101
Colorado Springs, CO 80918
Phone (719) 262-9283
Organizations & group practices 2
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.
-
- Sleep Disorder Diagnostic Clinic/Center
- Pueblo, CO
- NPI 1679892475
Hospital & facility affiliations 18
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1487265773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5835 LEHMAN DR STE 101",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809183408",
"telephone_number": "719-262-9283",
"fax_number": "719-262-9285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5835 LEHMAN DR STE 101",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809183408",
"telephone_number": "719-262-9283",
"fax_number": "719-262-9285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOCKWOOD",
"first_name": "KIMBERLY",
"middle_name": "EILEEN",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-11",
"last_updated": "2023-11-27",
"certification_date": "2020-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "172643",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "klockwood@deltawaves.org",
"affiliation": "Y",
"endpointDescription": "Email",
"affiliationName": "Delta Waves, Inc.",
"address_1": "5835 Lehman Dr Ste 101",
"city": "Colorado Springs",
"state": "CO",
"country_code": "US",
"postal_code": "809183408",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.