DIANNE LYNN LOCKMAN (NPI# 1003037524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003037524 |
| Entity Type | Individual |
| Full Name | DIANNE LYNN LOCKMAN |
| Credential | M.S., RN, CNS |
| Practice Address |
3919 W 44th St Ste 200 Edina MN 55424-1032 |
| Practice Telephone | 9529221977 |
| Practice Fax Number | 9529221980 |
| Mailing Telephone | 9529221977 |
| Mailing Fax Number | 9529221980 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
R055788 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BLUE SHIELD INDIVIDUAL | 4H897LO | 01 |
| Street Address |
3919 W 44TH ST STE 200 |
| City | EDINA |
| State | MN |
| Zip Code | 55424-1032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548488331 | Institute for Therapy & Behavior Change, Ltd. | Clinic/Center | 3919 W 44th St Ste 200, Edina, MN 55424-1032 | 2007-04-24 |
| 1508075573 | Lenny Lawrence Jennings | Psychologist | 3919 W 44th St Ste 200, Edina, MN 55424-1032 | 2007-05-22 |
| 1558574913 | Gayle Lencowski Knopik | Counselor | 3919 W 44th St Ste 200, Edina, MN 55424-1032 | 2007-05-08 |
| 1336352665 | Denise H. Bisanz, P.a. | Social Worker | 3919 W 44th St Ste 200, Edina, MN 55424-1032 | 2007-05-07 |
| 1396957049 | Karen Eileen Wolfe | Counselor | 3919 W 44th St Ste 200, Edina, MN 55424-1032 | 2007-05-04 |
| 1407075401 | Kathleen Mary Conlon | Social Worker | 3919 W 44th St Ste 200, Edina, MN 55424-1032 | 2007-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154824084 | Jamie Bradley | Midwife | 6240 Peacedale Avenue, Edina, MN 55424 | 2018-03-16 |
| 1467987313 | Lisa Sorensen | Psychologist | 5200 Willson Road, #445, Edina, MN 55424 | 2017-04-28 |
| 1093049348 | Harry Alvin Johnson Jr. | Plastic Surgery | 4708 Townes Road, Edina, MN 55424 | 2009-09-18 |
| 1396935219 | Michele Frances Dodds | Psychologist | 3948 West 50th St, #207, Edina, MN 55424 | 2007-07-26 |
| 1245452168 | Margo Ellen Arens | Physical Therapist | 6025 St. John's Ave., Edina, MN 55424 | 2007-05-02 |
| 1215095435 | Kristie J Anderson | Nurse Practitioner | 6905 York Ave S, Edina, MN 55424 | 2006-12-04 |
| 1821199852 | Michael T Kratz Dds Pa | Dentist | 3939 W 50th Street, #208, Edina, MN 55424 | 2006-09-25 |
| 1649747114 | Elizabeth Davin | Physician Assistant | 6905 York Ave S, Edina, MN 55424 | 2018-11-01 |
| 1245606326 | Forefront Dermatology, S.c. | Dermatology | 3916 W 50th St, Edina, MN 55424 | 2015-08-12 |
| 1316346950 | Brooke A Moss | Physician Assistant | 4100 W 50th St, Edina, MN 55424 | 2014-08-20 |
| Find all providers in zip 55424 | ||||
| Taxonomy Code | 103TP0016X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Prescribing (Medical) |
| Those licensed psychologists who have completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and who are authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders. |
| Notes: Source: Louisiana Academy of Medical Psychologists Note: Some states issue licenses under Medical Psychologist. [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740683515 | Tamber Health of Minnesota, P.C. | Psychologist | 2657 Woodbridge Rd, Wayzata, MN 55391-9406 | 2014-10-07 |
| 1457563942 | Helen Kim, Md, PC | Psychologist | 3133 Hennepin Avenue, Minneapolis, MN 55408 | 2007-05-04 |
| 1851785216 | Corolla Health Plc | Psychologist | 3920 13th Ave E, Suite 6, Hibbing, MN 55746-3675 | 2015-03-24 |
| 1063773174 | Mille Lacs Academy | Psychologist | 407 130th Ave S, Onamia, MN 56359-3115 | 2012-06-05 |
| 1457564510 | Janet Woehrle | Psychologist | 215 Se 2nd Ave, Grand Rapids, MN 55744-3615 | 2007-05-07 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.