Kerri Sue Lockwood, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5716 Issued in MN

Practice address

14180 Commerce Ave NE
Prior Lake, MN 55372-1483

Phone

(952) 447-3395

Fax

(952) 447-3396

NPI assigned

Jan 15, 2013

Last updated

Jan 15, 2013By the provider in NPPES

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eagle Creek Chiropractic

  • Physical Therapist
  • Prior Lake, MN
  • NPI 1073847554
  NPD (past)

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358208000000",
    "number": "1558608109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16526 HUTCHINSON DR",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550445802",
            "telephone_number": "952-447-3395",
            "fax_number": "952-447-3396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14180 COMMERCE AVE NE",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553721483",
            "telephone_number": "952-447-3395",
            "fax_number": "952-447-3396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKWOOD",
        "first_name": "KERRI",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-15",
        "last_updated": "2013-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DC LICENSE NUMBER",
            "identifier": "5716",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Life Dynamics Inc
• Lilah Suzan Ekim DDS, Ms. PLLC (Ekim Orthodontics)
• David A Linde, D.D.S.
• Emily Lindgren
• Kristen Dee Lindstrom, P.T.
• Vanessa Ruth Loe, PA-C
• Loren E. Novak & Associates, Inc. (Lifestyle Counseling Services)
• Lori Lubow
• David Henry Lucas, LPN
• Jared Anthony Lutz, DPT

• Chiropractor in Prior Lake, MN
• Providers in Prior Lake, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.