Active NPI
Genia Renae Locklear, CFTS
- Orthotic Fitter
- Pembroke, NC
National Provider Identifier
1790029304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotic Fitter
- License
- CFTS 7713
- Practice address
- 407 W 3Rd St
Pembroke, NC 28372-7977 - Phone
- (910) 521-5600
- Fax
- (910) 521-1906
- NPI assigned
- Nov 20, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotic Fitter | 225000000X | CFTS 7713 | NC | Primary |
Addresses
Primary practice location
407 W 3Rd St
Pembroke, NC 28372-7977
Mailing address
407 W 3Rd St
PO Box 2639
Pembroke, NC 28372-7977
Phone (910) 521-5600
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CFTS 7713 | NC | MD | Orthotic Fitter |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405296000000",
"number": "1790029304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 W 3RD ST",
"address_2": "PO BOX 2639",
"city": "PEMBROKE",
"state": "NC",
"postal_code": "283727977",
"telephone_number": "910-521-5600",
"fax_number": "910-521-1906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 W 3RD ST",
"city": "PEMBROKE",
"state": "NC",
"postal_code": "283727977",
"telephone_number": "910-521-5600",
"fax_number": "910-521-1906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOCKLEAR",
"first_name": "GENIA",
"middle_name": "RENAE",
"name_prefix": "Mrs.",
"credential": "CFTS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-20",
"last_updated": "2014-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "225000000X",
"taxonomy_group": "",
"desc": "Orthotic Fitter",
"state": "NC",
"license": "CFTS 7713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pembroke, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.