Jessica L. Locchead, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9104965 Issued in FL

Practice address

4511 N Davis Hwy
Ste 1-C
Pensacola, FL 32503-2720

Phone

(850) 477-3252

Fax

(850) 477-2659

NPI assigned

Mar 31, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jessica L. Proctor Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• West Florida Medical Center Clinic PA

  dba Medical Center Clinic Ambulatory Surgical Center

  • Ambulatory Surgical Clinic/Center
  • Pensacola, FL
  • NPI 1043396245
  NPD (past)

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

{
    "created_epoch": "1238457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580774400000",
    "number": "1538301957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4511 N DAVIS HWY S",
            "address_2": "STE1-C",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032770",
            "telephone_number": "850-477-3252",
            "fax_number": "850-477-2659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4511 N DAVIS HWY",
            "address_2": "STE 1-C",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032720",
            "telephone_number": "850-477-3252",
            "fax_number": "850-477-2659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCCHEAD",
        "first_name": "JESSICA",
        "middle_name": "L.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-31",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9104965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "PROCTOR",
            "middle_name": "L.",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Richard G. Livernois, M.D.
• Living Therapeutically
• Tyanna Shinese Livingston, APRN, FNP-C
• Ljak Enterprises LLC (Ellie Mental Health - NW Florida)
• Lloyd K. Ritchie, Jr., DDS, PA
• Mia Cheyenne Lockhart
• Alyssa Breann Locklin, RMHCI
• Derek Lodico, DO
• Gregory Mark Loftis, MD
• Carlton Joshua Logan, ATC

• Physician Assistant in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; 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.