Individual provider Active NPI

Amy Lockwood, CRNA

  • Certified Registered Nurse Anesthetist
  • Murray, KY
National Provider Identifier
1497051957
Registry record updated Jul 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
3006815 Issued in KY
Practice address
632 N 12TH St # 230
Murray, KY 42071-1651
Phone
(270) 705-9065
NPI assigned
Feb 1, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 3006815 KY Primary

Addresses

Primary practice location

632 N 12TH St # 230
Murray, KY 42071-1651

Mailing address

632 N 12TH St # 230
Murray, KY 42071-1651
Phone (270) 705-9065

Other names 1

  • Amy Owen Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110301000610 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 5496936189 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Murray Anesthetists Group, PLLCGroup PAC ID 6709057854, 13 clinicians

Practice addresses (Care Compare)

803 Poplar St
Murray, KY 42071-2432
Phone (270) 762-1100

Hospital & facility affiliations

  • Murray-Calloway County Hospital Hospital, Murray, KY, CCN 180027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3006815KYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Trigg County Hospital, Inc Nurse Anesthetist, Certified Registered CurrentSince Feb 18, 2017 Accepting new patients
Trigg County Hospital, Inc CurrentSince Feb 18, 2017 Accepting new patients
Murray Anesthetists Group, PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2011 Accepting new patients
Murray Anesthesia Group, PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

254 Main St
Cadiz, KY 42211
Phone (270) 522-3215

632 N 12th St
Murray, KY 42071
Phone (270) 227-6405

803 Poplar St
Murray, KY 42071
Phone (270) 762-1155

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1296518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469404800000",
    "number": "1497051957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 N 12TH ST # 230",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420711651",
            "telephone_number": "270-705-9065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 N 12TH ST # 230",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420711651",
            "telephone_number": "270-705-9065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKWOOD",
        "first_name": "AMY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-01",
        "last_updated": "2016-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "3006815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "OWEN",
            "credential": "CRNA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Murray, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.