Active NPI
Jessica Coe Lockhart, DNP
- Family Nurse Practitioner
- Pell City, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-161871
- Practice address
- 70 Plaza Dr
Pell City, AL 35125-9314 - Phone
- (205) 814-9284
- Fax
- (205) 814-9626
- NPI assigned
- Feb 11, 2019
- Last updated
- Jan 21, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-161871 | AL | Primary |
| General Practice Registered Nurse | 163WG0000X | 161871 | AL |
Addresses
Primary practice location
70 Plaza Dr
Pell City, AL 35125-9314
Mailing address
2110 Levine Rd
Odenville, AL 35120-6624
Phone (615) 906-6930
Other practice location 1
1201 11th Ave S
Birmingham, AL 35205-3423
Phone (205) 930-7050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Alabama School of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
110 Legacy Park Way
Springville, AL 35146-1206
Phone (205) 719-1000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 161871 | AL | MD | General Practice Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stopwatch Urgent Care Centers LLC | Current | Accepting new patients |
Locations
2415 Moores Mill Rd
Unit 230
Auburn, AL 36830
Phone (334) 502-1117
110 Legacy Park Way
Springville, AL 35146
Phone (205) 719-1000
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Moore's Mill Urgent Care
- Urgent Care Clinic/Center
- Auburn, AL
- NPI 1841506458
-
- Family Medicine Physician
- Birmingham, AL
- NPI 1417025917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611187200000",
"number": "1689130015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2110 LEVINE RD",
"city": "ODENVILLE",
"state": "AL",
"postal_code": "351206624",
"telephone_number": "615-906-6930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 PLAZA DR",
"city": "PELL CITY",
"state": "AL",
"postal_code": "351259314",
"telephone_number": "205-814-9284",
"fax_number": "205-814-9626"
}
],
"practiceLocations": [
{
"address_1": "1201 11th Ave S",
"address_purpose": "LOCATION",
"city": "Birmingham",
"state": "AL",
"postal_code": "352053423",
"country_code": "US",
"telephone_number": "205-930-7050",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOCKHART",
"first_name": "JESSICA",
"middle_name": "COE",
"credential": "DNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-11",
"last_updated": "2021-01-21",
"certification_date": "2021-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-161871",
"primary": true
},
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "AL",
"license": "161871",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pell City, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.