Active NPI
Michele L Lock, BSN,CEN,TCRN, VA-BC
- General Practice Registered Nurse
- Rochester, NY
National Provider Identifier
1780422204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Registered Nurse
- License
- 640336
- Practice address
- 1729 Qualtrough Rd
Rochester, NY 14625-1328 - Phone
- (585) 261-8664
- NPI assigned
- Jul 18, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 640336 | NY | Primary |
Addresses
Primary practice location
1729 Qualtrough Rd
Rochester, NY 14625-1328
Mailing address
1729 Qualtrough Rd
Rochester, NY 14625-1328
Phone (585) 261-8664
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor on Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 640336 | NY | MD | General Practice Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721260800000",
"number": "1780422204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1729 QUALTROUGH RD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146251328",
"telephone_number": "585-261-8664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1729 QUALTROUGH RD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146251328",
"telephone_number": "585-261-8664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOCK",
"first_name": "MICHELE",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "BSN,CEN,TCRN, VA-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-18",
"last_updated": "2024-07-18",
"certification_date": "2024-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, General Practice",
"state": "NY",
"license": "640336",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.