Tahra S Lock, NP-C
Individual provider Active NPI Family Nurse Practitioner · Springfield, MO
NPI 1992465199 · NPPES record last updated Apr 6, 2023
Key facts
- NPI
- 1992465199
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 2021028370 (MO)
- Practice address
- 3801 S National Ave FL 9
Springfield, MO 65807-5210 - Phone
- (417) 269-5158
- Fax
- (417) 269-4470
- NPI assigned
- Dec 29, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 19
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Lester E Cox Medical Centers
Practice addresses (Care Compare)
3801 S National Ave 9TH FL
Glycemic MGMT Services
Springfield, MO 65807-5210
Phone (417) 269-5158
960 E Walnut Lawn
201 Adult Medicine and Endocrinology Speciali
Springfield, MO 65807-7865
Phone (417) 269-4450
Hospital & facility affiliations
- Cox Medical Centers
- Cox Medical Center Branson
- Cox Monett Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220222001510 | MO | Practitioner - Nurse Practitioner | 9133513906 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lester E Cox Medical Centers | Current | Accepting new patients | |
| Lester E Cox Medical Centers | Current |
Accepting new patients | |
| Lester E Cox Medical Centers | Current |
Accepting new patients | |
| Lester E. Cox Medical Centers | Past | Accepting new patients |
Locations
3801 S National Ave
Ste 1122
Springfield, MO 65807
960 E Walnut Lawn St
Ste 201
Springfield, MO 65807
Phone (417) 269-4450
3801 S National Ave
Fl 9
Springfield, MO 65807
Phone (417) 269-4264
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2021028370 | MO | Yes |
Addresses
Primary practice location
3801 S National Ave FL 9
Springfield, MO 65807-5210
Mailing address
PO Box 802843
Kansas City, MO 64180-2843
Phone (417) 730-6430
Other providers in Springfield, MO
- Eileen Llewellyn
- Megan Breann Lloyd
- Amelia Lo
- Frederick N Lobati
- Raymond Leslie Lobins
- Sarah McKinley Locke
- Sheila Whitney Lockhart
- Monica H Loden
- Laura Loebel
- Loehr Chiropractic and Acupuncture, LLC
All providers in Springfield, MO · Family Nurse Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.