Active NPI
Heather T Lock, LMP
- Specialist
- Spokane Valley, WA
National Provider Identifier
1942437728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA00015750
- 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, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA00015750 | WA | MD | Specialist |
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.