KIMALISA LOCKLEAR


Address: 3637 Cape Center Dr, Fayetteville, NC 28304-4457
Phone: 9104911760

KIMALISA LOCKLEAR (NPI# 1306482500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306482500
Entity Type Individual
Full Name KIMALISA LOCKLEAR
Practice Address 3637 Cape Center Dr
Fayetteville
NC 28304-4457
Practice Telephone 9104911760
Practice Fax Number 9104911764
Mailing Telephone 9104911760
Mailing Fax Number 9104911764
Enumeration Date 2019-11-22
Last Update Date 2019-11-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 5012570 NC Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3637 CAPE CENTER DR
City FAYETTEVILLE
State NC
Zip Code 28304-4457

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194719559 Michael J Miller Internal Medicine 3637 Cape Center Dr, Fayetteville, NC 28304-4457 2005-08-31
1982228748 Priscilla Anne Locklear Nurse Practitioner 3637 Cape Center Dr, Fayetteville, NC 28304-4457 2020-06-07
1457869240 Mitchell Shane Skinner Physician Assistant 3637 Cape Center Dr, Fayetteville, NC 28304-4457 2018-01-16
1417464777 Matthew Mcentire Physician Assistant 3637 Cape Center Dr, Fayetteville, NC 28304-4457 2018-01-08
1295251973 Deidre N Murphy Nurse Practitioner 3637 Cape Center Dr, Fayetteville, NC 28304-4457 2017-08-15
1124450572 Carolina Cape Fear Medical Group, Pa Internal Medicine 3637 Cape Center Dr, Fayetteville, NC 28304-4457 2013-08-07
1801020771 Leah Bair Hershman Surgery 3637 Cape Center Dr, Fayetteville, NC 28304-4457 2009-05-07
1356596696 Mayur Jivrajbhai Lakhani Internal Medicine 3637 Cape Center Dr, Fayetteville, NC 28304-4457 2008-12-01
1851508949 Healthsouth Men's Clinic Specialist 3637 Cape Center Dr, Fayetteville, NC 28304-4457 2007-05-17
1548357908 Paul Ziomek Internal Medicine 3637 Cape Center Dr, Fayetteville, NC 28304-4457 2006-10-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598301061 Coast To Coast Bilingual Counseling Social Worker 910 Hope Mills Road, Fayetteville, NC 28304 2019-11-20
1811530561 Frances L. Hurst Technician 6732 Carloway Dr, Fayetteville, NC 28304 2019-10-25
1538717764 Rose Mary A O'conner Technician 3530 Madison Ave, Fayetteville, NC 28304 2019-08-30
1932756087 Sally Frances Jones Technician 2053 Mango Circle, Fayetteville, NC 28304 2019-08-23
1326528803 Jeneen Yvette Townsend Counselor 2671 Adams Lake Dr Apt F, Fayetteville, NC 28304 2018-08-15
1780179580 Ma Cornelia Villavicencio Leano Nurse Practitioner 3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304 2018-06-25
1861986267 Pediatric After Hours Care of Fayetteville Pediatrics 556 Sandhurst Drive, Fayetteville, NC 28304 2018-06-19
1700386133 Good Night Medical of Ohio, LLC Durable Medical Equipment & Medical Supplies 405 Owen Dr Ste 202, Fayetteville, NC 28304 2018-02-12
1003321365 Valleygate Dental Surgery Center of Fayetteville, LLC Dentist 2038 Litho Place, Fayetteville, NC 28304 2017-12-08
1871004663 The Salt Project Marriage & Family Therapist 1611-b Owen Dr., Fayetteville, NC 28304 2017-10-19
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326659798 Derek Miles Anderson Nurse Practitioner 545 Woodward Dr, Fayetteville, GA 30215-7641 2020-08-11
1376167163 Shatanya Monique Cook Nurse Practitioner 1233 Highway 54 W Ste 205, Fayetteville, GA 30214-4542 2020-06-08
1063058972 Mardee L Baxley Nurse Practitioner 1991 Fordham Dr Ste 302, Fayetteville, NC 28304-3774 2019-11-26
1336781715 Anna Brooks Maness Reed Nurse Practitioner 2053 Valleygate Dr Ste 102, Fayetteville, NC 28304-3983 2019-10-17
1801362355 Dawn Stone Nurse Practitioner 874 Lanier Ave W Ste 220, Fayetteville, GA 30214-7659 2018-10-22
1902385784 Yasmin Mathlin Nurse Practitioner 641 Walker St, Fayetteville, NC 28311-1990 2018-08-12
1144731951 Kelli Borland Nurse Practitioner 101 Yorktown Dr Ste 207, Fayetteville, GA 30214-1578 2017-10-19
1134639867 Jeanne Marie Lythgoe Nurse Practitioner 2153 Valleygate Dr Ste 101, Fayetteville, NC 28304-3667 2017-10-09
1174048037 Sharon Davinroy Nurse Practitioner 315 Sparrow Dr, Fayetteville, NC 28306-8227 2017-08-11
1609302868 Rose M Graham Nurse Practitioner 1202 Walter Reed Road, Capefear Valley Associate, Fayetteville, NC 28304 2017-05-10
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Competitor

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City FAYETTEVILLE
Zip Code 28304

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Dataset Information

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.

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