Individual provider Active NPI

Anika Lockhart

  • Pediatric Nurse Practitioner
  • Austin, TX
National Provider Identifier
1770123093
Registry record updated Jan 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
AP143740 Issued in TX
Practice address
4900 Mueller Blvd
Austin, TX 78723-3079
Phone
(512) 324-0000
NPI assigned
Jan 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X AP143740 TX Primary

Addresses

Primary practice location

4900 Mueller Blvd
Austin, TX 78723-3079

Mailing address

5120 Scottish Thistle Dr
Austin, TX 78739-1471
Phone (210) 478-6757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210713002899 TX Practitioner - Nurse Practitioner 7113329186 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Surgeons Who Only Care for Kids, PA CurrentSince Dec 27, 2021 Accepting new patients
Dell Children'S Medical Group CurrentSince Apr 3, 2021 Accepting new patients
Dell Children'S Medical Group CurrentSince Apr 3, 2021 Accepting new patients
Surgeons Who Only Care for Kids, PA CurrentSince Dec 27, 2021 Accepting new patients

Locations

4910 Mueller Blvd
Ste 100
Austin, TX 78723
Phone (206) 543-3093

1301 Barbara Jordan Blvd
Ste 200
Austin, TX 78723
Phone (512) 628-1800

1301 Barbara Jordan Blvd
Austin, TX 78723
Phone (512) 324-0098

4900 Mueller Blvd
Austin, TX 78723
Phone (512) 324-0165

1301 Barbara Jordan Blvd
Ste 400
Austin, TX 78723
Phone (512) 708-4567

1401 Medical Pkwy
Cedar Park, TX 78613
Phone (512) 528-7000

Interoperability endpoints

  • Direct secure messaging: anika.lockhart.1@8363.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/8363/brand/2/csg/1/fhir/r4

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1578960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578960000000",
    "number": "1770123093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5120 SCOTTISH THISTLE DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787391471",
            "telephone_number": "210-478-6757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 MUELLER BLVD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787233079",
            "telephone_number": "512-324-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKHART",
        "first_name": "ANIKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-14",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "AP143740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.