Locke Family Medicine, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

38023 Issued in CO

Legal business name

LOCKE FAMILY MEDICINE, LLC

Practice address

1450 East Valley Road
Suite 101
Basalt, CO 81621

Phone

(970) 279-4111

Fax

(970) 927-3915

NPI assigned

Oct 3, 2006

Last updated

Jul 24, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kelly Locke, M.D.NPI 1376546002

Title

Owner

Phone

(970) 279-4111

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelly Tay Locke, MD

  • Family Medicine Physician
  • Aspen, CO
  • NPI 1376546002
  Authorized official Same address or phone

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374624000000",
    "number": "1598850166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 EAST VALLEY ROAD",
            "address_2": "SUITE 101",
            "city": "BASALT",
            "state": "CO",
            "postal_code": "81621",
            "telephone_number": "970-279-4111",
            "fax_number": "970-927-3915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 EAST VALLEY ROAD",
            "address_2": "SUITE 101",
            "city": "BASALT",
            "state": "CO",
            "postal_code": "81621",
            "telephone_number": "970-279-4111",
            "fax_number": "970-927-3915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOCKE FAMILY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2013-07-24",
        "status": "A",
        "authorized_official_last_name": "LOCKE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-279-4111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "38023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Lebowitz, LMFT
• Levy Physical Therapy, Inc
• Michael Scott Levy, P.T.
• Ferdinand Jesus Liotta, M.D.
• Locke Aesthetics LLC
• Estela Lujan Ortiz
• Cynthia Macdonald, M.A., L.P.C., C.A.C.
• Marissa Meinema, Otrl, LLC
• William Jason Martin, MD
• Rachel Matheson, SWC

• Family Medicine Physician in Basalt, CO
• Providers in Basalt, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.