Individual provider Active NPI

Heather T Lock, LMP

  • Specialist
  • Spokane Valley, WA
National Provider Identifier
1942437728
Registry record updated Jun 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA00015750 Issued in WA
Practice address
2310 N Cherry St Ste 200
Spokane Valley, WA 99216-1152
Phone
(509) 993-6393
Fax
(928) 223-6393
NPI assigned
Jun 18, 2009
Last updated
Jun 18, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA00015750 WA Primary

Addresses

Primary practice location

2310 N Cherry St Ste 200
Spokane Valley, WA 99216-1152

Mailing address

2310 N Cherry St Ste 200
Spokane Valley, WA 99216-1152
Phone (509) 993-6393

Other names 1

  • Heather T Fisk Former name

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

State licenses

LicenseStateTypeSpecialty
MA00015750WAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245283200000",
    "number": "1942437728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 N CHERRY ST STE 200",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161152",
            "telephone_number": "509-993-6393",
            "fax_number": "928-223-6393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 N CHERRY ST STE 200",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161152",
            "telephone_number": "509-993-6393",
            "fax_number": "928-223-6393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCK",
        "first_name": "HEATHER",
        "middle_name": "T",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-18",
        "last_updated": "2009-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00015750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "FISK",
            "middle_name": "T",
            "credential": "HEATHER LOCK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2009; 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.