Individual provider Active NPI

Jasmine Marie Locklear, NP-C

  • Family Nurse Practitioner
  • Wilmington, NC
National Provider Identifier
1962031039
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5012999 Issued in NC
Practice address
2334 South 41St St
Wilmington, NC 28403-5502
Phone
(800) 999-9883
NPI assigned
Apr 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5012999 NC Primary

Addresses

Primary practice location

2334 South 41St St
Wilmington, NC 28403-5502

Mailing address

705A Wesley Pines Rd
Lumberton, NC 28358-2105
Phone (910) 885-5951

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210114001857 NC Practitioner - Nurse Practitioner 1850704768 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5012999NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Regional Physician Services CurrentSince Aug 19, 2021 Accepting new patients
Liberty Healthcare Group, LLC CurrentSince Oct 10, 2020 Accepting new patients
Liberty Healthcare Group LLC CurrentSince Oct 10, 2020 Accepting new patients
Southeastern Health Physician Services CurrentSince Aug 19, 2021 Accepting new patients
Southeastern Regional Physician Services Current Accepting new patients

Locations

725 Oakridge Blvd
Ste B2
Lumberton, NC 28358
Phone (910) 671-0052

395 W 27th St
Lumberton, NC 28358
Phone (910) 738-3434

2002 N Cedar St
#B
Lumberton, NC 28358
Phone (910) 272-3048

2334 41st St
Wilmington, NC 28403
Phone (910) 815-3122

2550 41st St
Wilmington, NC 28403
Phone (910) 251-8111

420 Eastwood Rd
Ste 102
Wilmington, NC 28403
Phone (910) 251-8111

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1585785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1962031039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705A WESLEY PINES RD",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582105",
            "telephone_number": "910-885-5951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2334 SOUTH 41ST ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284035502",
            "telephone_number": "800-999-9883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKLEAR",
        "first_name": "JASMINE",
        "middle_name": "MARIE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-02",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5012999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.