Individual provider Active NPI

Alicia Kinton Lock, NP

  • Women's Health Nurse Practitioner
  • Chestnut Hill, MA
National Provider Identifier
1790107258
Registry record updated Apr 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
RN2288353 Issued in MA
Practice address
200 Boylston St FL 4
Chestnut Hill, MA 02467-2008
Phone
(617) 278-8660
Fax
(617) 754-0210
NPI assigned
Jan 17, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 848575 TX
Women's Health Nurse Practitioner 363LW0102X RN2288353 MA Primary

Addresses

Primary practice location

200 Boylston St FL 4
Chestnut Hill, MA 02467-2008

Mailing address

200 Boylston St FL 4
Chestnut Hill, MA 02467-2008
Phone (617) 278-8660

Other names 1

  • Alicia Elizabeth Kinton Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN2288353MAMDWomen's Health Nurse Practitioner
848575TXMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Sep 3, 2016 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Sep 3, 2016 Accepting new patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Sep 3, 2016 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Sep 3, 2016 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc Past Accepting new patients

Locations

330 Brookline Ave
#72
Boston, MA 02215

330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000

200 Boylston St
Fl 4
Chestnut Hill, MA 02467
Phone (617) 278-8660

230 Bowdoin St
Dorchester, MA 02122
Phone (617) 754-0100

Interoperability endpoints

  • Direct secure messaging: alock254120@direct.bilh.masshiway.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.

NPI Registry JSON

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

{
    "created_epoch": "1389916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588118400000",
    "number": "1790107258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BOYLSTON ST FL 4",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024672008",
            "telephone_number": "617-278-8660",
            "fax_number": "617-278-8670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BOYLSTON ST FL 4",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024672008",
            "telephone_number": "617-278-8660",
            "fax_number": "617-754-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCK",
        "first_name": "ALICIA",
        "middle_name": "KINTON",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-17",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "848575",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MA",
            "license": "RN2288353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "KINTON",
            "middle_name": "ELIZABETH",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chestnut Hill, MA

Sources for this page

Verify at the official NPI Registry.