JESSICA LOCKE (NPI# 1083274765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083274765 |
| Entity Type | Individual |
| Full Name | JESSICA LOCKE |
| Practice Address |
198 Charlton Rd Sturbridge MA 01566-1571 |
| Mailing Address |
48 Lincoln St Spencer MA 01562-1621 |
| Practice Telephone | 5083477585 |
| Mailing Telephone | 7742722304 |
| Enumeration Date | 2019-06-16 |
| Last Update Date | 2019-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2293248 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164846689 | Jessica Locke | Social Worker | 710 E 111th Pl, Los Angeles, CA 90059-1518 | 2014-02-05 |
| 1346412152 | Jessica Renee Locke | Nurse Practitioner | 1505 Sw Archer Rd, Gainesville, FL 32608-1134 | 2008-04-01 |
| Street Address |
198 CHARLTON RD |
| City | STURBRIDGE |
| State | MA |
| Zip Code | 01566-1571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124453659 | Gennady Gelman | Family Medicine | 198 Charlton Rd, Sturbridge, MA 01566 | 2013-09-03 |
| 1861842726 | Matthew Dalke | Family Medicine | 198 Charlton Rd, Sturbridge, MA 01566-1571 | 2016-06-21 |
| 1134545759 | Shanell H Vance | Registered Nurse | 198 Charlton Rd, Sturbridge, MA 01566 | 2014-03-06 |
| 1740617000 | Sarah Desjardin | Dietitian, Registered | 198 Charlton Rd, Sturbridge, MA 01566 | 2013-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609368919 | Martha Charley | Nurse Practitioner | Southbridge Pain Clinic, 48 Main Street Suite 6, Sturbridge, MA 01566 | 2018-06-01 |
| 1013407097 | Jolynn Klier | Psychologist | 1 Library Ln N, Sturbridge, MA 01566 | 2018-05-15 |
| 1841703295 | Brandon A Campo | Behavioral Analyst | 54 Main St Unit 0, Sturbridge, MA 01566 | 2017-11-08 |
| 1023407145 | Village Family Chiropractic, LLC | Chiropractor | 58 Main Street, Sturbridge, MA 01566 | 2015-01-13 |
| 1013330166 | Debra Kizilcan | Massage Therapist | 426 Main Street C/o Alternatives for Health, Sturbridge, MA 01566 | 2014-01-27 |
| 1710123492 | Heritage Home Health Care, LLC | Home Health | 559 Main Street, Suite 103, Sturbridge, MA 01566 | 2008-12-30 |
| 1225176373 | William Brian Digregorio | Chiropractor | 64 Main St Rt 131, Sturbridge, MA 01566 | 2007-02-01 |
| 1437247889 | Larry A Johnson Dds PC | Dentist | 69 Hall Road, Sturbridge, MA 01566 | 2006-10-11 |
| 1639281090 | Mohamed Hashi Abib | Family Medicine | 128 Main St Ste 4, Sturbridge, MA 01566 | 2006-08-31 |
| 1417965369 | Michael Charles Jedrzynski | Podiatrist | 118 Main St #4, Sturbridge, MA 01566 | 2006-08-04 |
| Find all providers in zip 01566 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609368919 | Martha Charley | Nurse Practitioner | Southbridge Pain Clinic, 48 Main Street Suite 6, Sturbridge, MA 01566 | 2018-06-01 |
| 1922522895 | Harmony Webster | Nurse Practitioner | 198 Charlton Road, Sturbridge, MA 01566 | 2017-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821885 | Tanya Lee Bailey | Nurse Practitioner | 185 Vining Hill Rd, Southwick, MA 01077-9413 | 2020-11-07 |
| 1134720964 | Arliomey Ambroise | Nurse Practitioner | 2216 Summit Dr, Bridgewater, MA 02324-2178 | 2020-11-06 |
| 1184225161 | Christina Chan Sok | Nurse Practitioner | 24 Hartwell Ave # 204, Lexington, MA 02421-3132 | 2020-11-05 |
| 1871194381 | Stacie Rose | Nurse Practitioner | 131 Hartwell Ave, Lexington, MA 02421-3105 | 2020-11-03 |
| 1881295145 | Heather Thomas | Nurse Practitioner | 39 Brock St Apt 1, Brighton, MA 02135-2661 | 2020-11-03 |
| 1427659069 | Jenna Gunnell | Nurse Practitioner | 700 Greendale Ave Unit 11203, Needham, MA 02492-4362 | 2020-11-02 |
| 1336749936 | Julia Monroe | Nurse Practitioner | 7 Atwood St, Cherry Valley, MA 01611-3332 | 2020-11-01 |
| 1730789744 | Polyana F Barbosa | Nurse Practitioner | 491 Maple St Ste 208, Danvers, MA 01923-4025 | 2020-10-28 |
| 1053910257 | Lauren Michele Flynn | Nurse Practitioner | 173 Sumner St, Quincy, MA 02169-7003 | 2020-10-20 |
| 1043819196 | Kimberly S Christie | Nurse Practitioner | 107 Sheraton Ave, Somerset, MA 02725-1150 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
| City | STURBRIDGE |
| Zip Code | 01566 |
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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.