Active NPI
Janice Dorothy Locke, MS, GNP-BC
- Gerontology Nurse Practitioner
- Novi, MI
National Provider Identifier
1508894908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 4704136295
- Practice address
- 41100 Fox Run
Novi, MI 48377-4804 - Phone
- (248) 668-8650
- Fax
- (248) 668-8651
- NPI assigned
- Jun 28, 2006
- 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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 4704136295 | MI | Primary |
Addresses
Primary practice location
41100 Fox Run
Novi, MI 48377-4804
Mailing address
5525 Research Park Drive
4TH Floor
Baltimore, MD 21228-4664
Phone (248) 668-8650
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 223695886 | Other | TRICARE NORTH | |
| 83-20307 | Other | EVERCARE |
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
- Master of Science, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erickson Health Medical Group of Michigan PC | Gerontology | Past | Accepting new patients |
| Washtenaw Medicine | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/3683/brand/1/csg/1/fhir/r4
- jlocke329824@direct.hfhs.org
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.
-
- Internal Medicine Physician
- Novi, MI
- NPI 1477573244
Gerontology
-
- Geriatric Medicine (Internal Medicine) Physician
- Ypsilanti, MI
- NPI 1700832078
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430870400000",
"number": "1508894908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5525 RESEARCH PARK DRIVE",
"address_2": "4TH FLOOR",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212284664",
"telephone_number": "248-668-8650",
"fax_number": "248-668-8650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41100 FOX RUN",
"city": "NOVI",
"state": "MI",
"postal_code": "483774804",
"telephone_number": "248-668-8650",
"fax_number": "248-668-8651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOCKE",
"first_name": "JANICE",
"middle_name": "DOROTHY",
"name_prefix": "Ms.",
"credential": "MS, GNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-28",
"last_updated": "2015-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MI",
"license": "4704136295",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE NORTH",
"identifier": "223695886",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EVERCARE",
"identifier": "83-20307",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Novi, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.