PRISCILLA ANNE LOCKLEAR (NPI# 1982228748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982228748 |
| Entity Type | Individual |
| Full Name | PRISCILLA ANNE LOCKLEAR |
| Credential | FNP |
| Practice Address |
3637 Cape Center Dr Fayetteville NC 28304-4457 |
| Practice Telephone | 9104911760 |
| Mailing Telephone | 9104911760 |
| Mailing Fax Number | 9104911764 |
| Enumeration Date | 2020-06-07 |
| Last Update Date | 2020-06-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
5013158 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3637 CAPE CENTER DR |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28304-4457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194719559 | Michael J Miller | Internal Medicine | 3637 Cape Center Dr, Fayetteville, NC 28304-4457 | 2005-08-31 |
| 1306482500 | Kimalisa Locklear | Nurse Practitioner | 3637 Cape Center Dr, Fayetteville, NC 28304-4457 | 2019-11-22 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 28304 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639603707 | Onyebuchi Nwaokolo | Nurse Practitioner | 500 Lanier Ave W Ste 103c, Fayetteville, GA 30214-7640 | 2017-04-16 |
| 1114300100 | Jennifer Oxford | Nurse Practitioner | 2629 N Sierra Ave, Fayetteville, AR 72703-3370 | 2015-07-08 |
| 1548881279 | Divine Family Practice and Urgent Care, Pllc | Nurse Practitioner | 526 Sandhurst Dr, Fayetteville, NC 28304-4426 | 2020-05-05 |
| 1790305746 | Andrew Joseph Sanchez | Nurse Practitioner | 745 Glynn St S, Fayetteville, GA 30214-2049 | 2020-04-20 |
| 1356984280 | Taylor Anne Schubert | Nurse Practitioner | 2109 Valleygate Dr Ste 201, Fayetteville, NC 28304-3571 | 2019-10-23 |
| 1245690288 | Shenilla Solomon | Nurse Practitioner | 2300 Ramsey Street, Fayetteville, NC 28301 | 2016-03-03 |
| 1114385374 | Tiffany Michelle Jackson | Nurse Practitioner | 12 E Appleby Rd, Suite 101, Fayetteville, AR 72703-3901 | 2016-02-03 |
| 1164887873 | Simpleclinic Pllc | Nurse Practitioner | 1074 Southern Ave, Fayetteville, NC 28306-1766 | 2015-12-22 |
| 1467877340 | Taesha Cybille Nicole Winford | Nurse Practitioner | 3 East Appleby Road, Suite 301, Fayetteville, AR 72703 | 2014-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295334647 | Kennitrish Nickola Bracey | Nurse Practitioner | 5124 Red Poll Dr, Greensboro, NC 27405-9794 | 2020-10-17 |
| 1255947974 | Alice Lorraine Fagan | Nurse Practitioner | 2130 Highland View Ln, Charlotte, NC 28214-9425 | 2020-09-17 |
| 1689286270 | Meylien Delgado Lee | Nurse Practitioner | 510 S Spruce St, Wilkesboro, NC 28697-2846 | 2020-08-17 |
| 1124638317 | Jakita Strong | Nurse Practitioner | 1506 Ladora Dr, Charlotte, NC 28262-6414 | 2020-08-03 |
| 1689284820 | Corrie Hansen | Nurse Practitioner | 1700 Tarboro St W Ste 100, Wilson, NC 27893-3481 | 2020-08-03 |
| 1609490382 | Brooke Martin Shaw | Nurse Practitioner | 5514, 350 N Cox St, Ste 6, Asheboro, NC 27203 | 2020-05-29 |
| 1467075440 | Lydia A. Teague | Nurse Practitioner | 120 N Medical Drive Unc-ch Son: Carrington Hall Chapel, Chapel Hill, NC 27599-0001 | 2020-05-25 |
| 1689209710 | Ana Rita Frey | Nurse Practitioner | 601 E 5th St Ste 140, Charlotte, NC 28202-3092 | 2020-03-09 |
| 1578109427 | Mia Licole Saulter | Nurse Practitioner | 3961 Stafford Run Ct, High Point, NC 27265-9480 | 2019-11-25 |
| 1801430715 | Erica Nicole Ebohon | Nurse Practitioner | 3803 Arundel Ct, Greensboro, NC 27406-9832 | 2019-11-04 |
| Find all providers with the same taxonomy | ||||
| City | FAYETTEVILLE |
| Zip Code | 28304 |
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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.