Active NPI
Lillian Lockett Robertson, M.D.
- Obstetrics & Gynecology Physician
- Tacoma, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD 60435457
- Practice address
- 1717 S J St
Ms 01-38
Tacoma, WA 98405-4933 - Phone
- (979) 292-5012
- Fax
- (713) 668-0469
- NPI assigned
- Jan 10, 2007
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | J1463 | TX | |
| Obstetrics & Gynecology Physician | 207V00000X | MD 60435457 | WA | Primary |
Addresses
Primary practice location
1717 S J St
Ms 01-38
Tacoma, WA 98405-4933
Mailing address
3534 Elmridge St
Houston, TX 77025-4112
Phone (979) 292-5012
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 034120801 | Medicaid | TX |
Other names 1
- Dr. Lillian Doris Lockett
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Creighton University School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1717 J St
Tacoma, WA 98405-4933
Phone (864) 908-3530
1800 NW Myhre Rd
Silverdale, WA 98383-7663
Phone (864) 908-3530
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J1463 | TX | MD | Obstetrics & Gynecology Physician |
| MD 60435457 | WA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Medical Group | Current | Accepting new patients | |
| Franciscan Medical Group | Current | Accepting new patients | |
| Franciscan Medical Group | Current | Accepting new patients | |
| Franciscan Medical Group | Past | Accepting new patients |
Locations
34515 9th Ave S
Federal Way, WA 98003
Phone (253) 835-8100
34503 9th Ave S
Ste 130
Federal Way, WA 98003
Phone (253) 835-5340
1800 NW Myhre Rd
Silverdale, WA 98383
Phone (360) 337-8800
1717 S J St
Stop 101
Tacoma, WA 98405
1717 S J St
Tacoma, WA 98405
Phone (253) 426-4101
1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200
1717 S J St
#138
Tacoma, WA 98405
Phone (979) 292-5012
Interoperability endpoints
- lrobertson72063@fhsce.catholichealth.net
Organizations & group practices 5
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.
-
- Obstetrics & Gynecology Physician
- Silverdale, WA
- NPI 1962729525
-
- Orthopaedic Surgery Physician
- Silverdale, WA
- NPI 1093165334
-
- Family Medicine Physician
- Tacoma, WA
- NPI 1366539421
-
- Anesthesiology Physician
- Tacoma, WA
- NPI 1831358282
-
- Family Medicine Physician
- Gig Harbor, WA
- NPI 1386602555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401840000000",
"number": "1720137268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3534 ELMRIDGE ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770254112",
"telephone_number": "979-292-5012",
"fax_number": "713-668-0469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 S J ST",
"address_2": "MS 01-38",
"city": "TACOMA",
"state": "WA",
"postal_code": "984054933",
"telephone_number": "979-292-5012",
"fax_number": "713-668-0469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTSON",
"first_name": "LILLIAN",
"middle_name": "LOCKETT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-10",
"last_updated": "2014-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "J1463",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "WA",
"license": "MD 60435457",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "034120801",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LILLIAN",
"last_name": "LOCKETT",
"middle_name": "DORIS",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; 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.