Locklear Family Practice, PLLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

LOCKLEAR FAMILY PRACTICE, PLLC

Practice address

17 Livermore Dr
Pembroke, NC 28372-7282

Phone

(910) 775-0210

Fax

(910) 775-0110

NPI assigned

Sep 19, 2017

Last updated

Sep 22, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jodella Locklear, FNP-CNPI 1578565164

Title

Nurse Practitioner, President

Phone

(910) 775-0210

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AADBBD

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jodella Locklear, FNP-C

  • Family Nurse Practitioner
  • Pembroke, NC
  • NPI 1578565164
  Medicare reassignment Care Compare group NPD Authorized official
• Natalie Pierce Locklear, NP

  • Family Nurse Practitioner
  • Pembroke, NC
  • NPI 1083956577
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1505779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663804800000",
    "number": "1932628187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 LIVERMORE DR",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283727282",
            "telephone_number": "910-775-0210",
            "fax_number": "910-775-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 LIVERMORE DR",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283727282",
            "telephone_number": "910-775-0210",
            "fax_number": "910-775-0110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 Livermore Dr",
            "address_purpose": "LOCATION",
            "city": "Pembroke",
            "state": "NC",
            "postal_code": "283727282",
            "country_code": "US",
            "telephone_number": "910-775-0210",
            "fax_number": "910-775-0110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LOCKLEAR FAMILY PRACTICE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-19",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A",
        "authorized_official_last_name": "LOCKLEAR",
        "authorized_official_first_name": "JODELLA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER, PRESIDENT",
        "authorized_official_telephone_number": "910-775-0210",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cierra Harris Leviner, MS
• Dakota Leviner, RN
• Kamren Lewis
• Life Support Services, LLC
• Lilies of Hope Companion and Home Care LLC
• Elizabeth Locklear Lowery
• Locklear Prime and Urgent Care
• Aaron Maurice Locklear, M.D.
• Amy Lacrest Locklear, FNP-C
• Annette Locklear, LPC

• Nurse Practitioner in Pembroke, NC
• Providers in Pembroke, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.