Active NPI
Kelly Marie Lockman, RN, BSN
- Registered Nurse
- Wenatchee, WA
National Provider Identifier
1871066639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN60127580
- Practice address
- 1230 Monitor St
Wenatchee, WA 98801-3534 - Phone
- (509) 300-1221
- NPI assigned
- Jan 4, 2019
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN60127580 | WA | Primary |
Addresses
Primary practice location
1230 Monitor St
Wenatchee, WA 98801-3534
Mailing address
1230 Monitor St
Wenatchee, WA 98801-3534
Phone (509) 300-1221
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 911824793 | Medicaid | WA |
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, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN60127580 | WA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546560000000",
"number": "1871066639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1230 MONITOR ST",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "988013534",
"telephone_number": "509-300-1221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1230 MONITOR ST",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "988013534",
"telephone_number": "509-300-1221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOCKMAN",
"first_name": "KELLY",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "RN, BSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-04",
"last_updated": "2019-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN60127580",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "911824793",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wenatchee, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.