ALEXANDRA SUZANNE LOCKE


Address: 2000 Circle of Hope Dr, Salt Lake City, UT 84112-5550
Phone: 4358402066

ALEXANDRA SUZANNE LOCKE (NPI# 1467934398) 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) 1467934398
Entity Type Individual
Full Name ALEXANDRA SUZANNE LOCKE
Credential PA-C
Practice Address 2000 Circle of Hope Dr
Salt Lake City
UT 84112-5550
Mailing Address 1950 Circle of Hope Dr
Salt Lake City
UT 84112-5500
Practice Telephone 4358402066
Mailing Telephone 8015874379
Mailing Fax Number 8015855495
Enumeration Date 2018-09-06
Last Update Date 2020-07-31
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 10977767-1206 UT Physician Assistants & Advanced Practice Nursing Providers
N 363AM0700X Physician Assistant
Specialization: Medical
Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NCCPA 1157308 01

Other Providers ALEXANDRA LOCKE

NPI Name Taxonomy Address Enumeration
1467958298 Alexandra Locke Behavior Technician 1617 E Milham Ave Ste B, Portage, MI 49002-3049 2018-04-02

Office Location

Street Address 2000 CIRCLE OF HOPE DR
City SALT LAKE CITY
State UT
Zip Code 84112-5550

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699775767 Sunil Sharma Internal Medicine 2000 Circle of Hope Dr, #3380, Salt Lake City, UT 84112-5550 2005-07-29
1124638812 Youngbeen Jeon Shamo Nurse Practitioner 2000 Circle of Hope Dr, Salt Lake City, UT 84112-5550 2020-08-06
1760091359 Samantha Jean Powell Social Worker 2000 Circle of Hope Dr, Salt Lake City, UT 84112-5550 2020-07-29
1760035174 Nidhi Sharma Nurse Practitioner 2000 Circle of Hope Dr, Salt Lake City, UT 84112-5550 2019-07-24
1356901003 Cassie Kuhn Nurse Practitioner 2000 Circle of Hope Dr, Salt Lake City, UT 84112-5550 2019-06-15
1134788623 Ambreen Khan Genetic Counselor, MS 2000 Circle of Hope Dr, Salt Lake City, UT 84112-5550 2019-06-10
1558920835 Jace Dakota Johnny Nurse Practitioner 2000 Circle of Hope Dr, Salt Lake City, UT 84112-5550 2019-06-10
1548738826 Yelena Ping Wu Psychologist 2000 Circle of Hope Dr, Salt Lake City, UT 84112-5550 2018-11-05
1902380058 Emily Catherine Armstrong Physician Assistant 2000 Circle of Hope Dr, Salt Lake City, UT 84112-5550 2018-09-24
1548752827 Kelsie J Anderson Nurse Practitioner 2000 Circle of Hope Dr, Salt Lake City, UT 84112-5550 2018-06-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508484023 Courtney Hook Student in an Organized Health Care Education/Training Program 1860 E 250 S Hper East, Room 208, Salt Lake City, UT 84112 2020-07-10
1235792839 Dylan Lamb Rehabilitation Practitioner 1850 S. 260 E, Salt Lake City, UT 84112 2019-04-18
1740787407 David Bradley Patch Student in an Organized Health Care Education/Training Program University of Utah Hospital Dental Clinic #7, 50 N. Medical Dr., Salt Lake City, UT 84112 2018-04-10
1962949586 Gina Whitehead Nurse Practitioner 10 South 2000 East, Salt Lake City, UT 84112 2017-01-20
1316493117 Dana Friske Specialist/Technologist 290 S 1850 E, Room 103, Salt Lake City, UT 84112 2016-08-31
1548612435 Frances Millett Johnson Nurse Practitioner 555 South Foothill Blvd, Suite 301, Salt Lake City, UT 84112 2016-07-05
1679920904 Jason Lippman Family Medicine 555 S. Foothill Blvd., Ste. 301, Salt Lake City, UT 84112 2016-05-17
1447604335 Joseph Mcbeth Specialist/Technologist 580 S. Guardsman Way, Salt Lake City, UT 84112 2016-04-18
1104213636 Cameron Critchfield Student in an Organized Health Care Education/Training Program 26 South 2000 East, Suite 5900, Salt Lake City, UT 84112 2015-04-22
1942697933 Jennifer Rose Dentist 50 N Medical Dr, University Hospital, Salt Lake City, UT 84112 2015-04-17
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417556986 Brittany Tran Physician Assistant 2733 W Redwick Ct, Salt Lake City, UT 84129-5901 2020-10-25
1528674975 James Christopher Nichols Physician Assistant 1746 E 2100 S, Salt Lake City, UT 84106-4165 2020-09-21
1841826971 David Souza Physician Assistant 52 N Medical Dr, Salt Lake City, UT 84132-0001 2020-03-20
1134751902 Jacie Anna Mundahl Physician Assistant 8th Ave C St E 80, Salt Lake City, UT 84143-0001 2020-02-10
1336770544 Kelsey Rae Thompson Physician Assistant 3809 S Parkview Dr, Salt Lake City, UT 84124-2322 2020-01-28
1245885458 Adam Douglas Whitney Physician Assistant 1056 E Harrison Ave, Salt Lake City, UT 84105-2445 2019-08-05
1306498654 Jarred J Entringer Physician Assistant 2725 S 700 E Apt K, Salt Lake City, UT 84106-2883 2019-07-16
1588216840 Christina Thomas Physician Assistant 255 N 400 W Apt 5015, Salt Lake City, UT 84103-1568 2019-07-16
1770135022 Evar Saelee Physician Assistant 2630 E Stringham Ave Apt 224a, Salt Lake City, UT 84109-3945 2019-07-16
1982263471 Ashley Marten Physician Assistant 3610 E Cascade Way, Salt Lake City, UT 84109-2307 2019-06-10
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Competitor

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City SALT LAKE CITY
Zip Code 84112

Improve Information

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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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