Susan Cassandra Lock, CNM, APN

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

209010598 Issued in IL

Practice address

544 W Pershing Rd
Decatur, IL 62526-3226

Phone

(217) 872-2400

Fax

(217) 875-4680

NPI assigned

Jul 1, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

Practice roles

Interoperability endpoints

• Direct secure messaging: susan.lock.p31@direct.fhn-fqhc.nextgenshare.com

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.

• Community Health Improvement Center

  • Federally Qualified Health Center (FQHC)
  • Decatur, IL
  • NPI 1194794917
  NPD (past)
• HSHS Medical Group Inc

  • Rural Health Clinic/Center
  • Rushville, IL
  • NPI 1487719480
  NPD (past)

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

{
    "created_epoch": "1372636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1801236146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "544 W PERSHING RD",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625263226",
            "telephone_number": "217-872-2400",
            "fax_number": "217-875-4680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "544 W PERSHING RD",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625263226",
            "telephone_number": "217-872-2400",
            "fax_number": "217-875-4680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCK",
        "first_name": "SUSAN",
        "middle_name": "CASSANDRA",
        "name_prefix": "Mrs.",
        "credential": "CNM, APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-01",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IL",
            "license": "209010598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "slock174515@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "544 W Pershing Rd",
            "city": "Decatur",
            "state": "IL",
            "country_code": "US",
            "postal_code": "625263226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• George Albert Liu, MD
• Living Centers Inc
• Living Centers Inc
• Larry Livingston, PHD
• Daniel J. Loban, DDS
• Jonathan T Locke, MD
• Loft Rehabilitation of Decatur LLC
• Loft Rehabilitation of Rock Springs LLC
• Melinda Sue Logan, FNP
• Suzanne E Logan, PTA

• Advanced Practice Midwife in Decatur, IL
• Providers in Decatur, IL by specialty
• Advanced Practice Midwife in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.