Active NPI
Alicia Kinton Lock, NP
- Women's Health Nurse Practitioner
- Chestnut Hill, MA
National Provider Identifier
1790107258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- RN2288353
- 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
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 |
|---|---|---|---|---|
| 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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2288353 | MA | MD | Women's Health Nurse Practitioner |
| 848575 | TX | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beth Israel Deaconess Medical Center, Inc. | Current | Accepting new patients | |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Current | Accepting new patients | |
| Beth Israel Deaconess Medical Center, Inc. | Current | Accepting new patients | |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Current | 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
- 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.
-
- Ambulance
- Boston, MA
- NPI 1518600501
-
- General Acute Care Hospital
- Boston, MA
- NPI 1548202641
-
- Emergency Medicine Physician
- Boston, MA
- NPI 1316987993
-
- Obstetrics & Gynecology Physician
- Boston, MA
- NPI 1518908136
-
- Dermatology Physician
- Boston, MA
- NPI 1043250616
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.