Allison Locke (NPI# 1881140713, PAC ID# 1355611146) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1881140713 |
PAC ID by PECOS | 1355611146 |
Professional Enrollment ID | I20170727001453 |
Full Name | Allison Locke |
Organization Legal Name | VIVIAN SIMMONS MD FAMILY PRACTICE |
Address |
169 N 2nd Ave Hartford AL 36344-1219 |
Phone Number | 3345880408 |
Gender | F |
Graduation Year | 2016 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 9638501463 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
169 N 2nd Ave, Hartford, AL 36344-1219 | 3345880408 | VIVIAN SIMMONS MD FAMILY PRACTICE |
Organization Legal Name | VIVIAN SIMMONS MD FAMILY PRACTICE |
Physicians | 1 |
Street Address |
169 N 2ND AVE |
City | HARTFORD |
State | AL |
Zip | 36344-1219 |
City | HARTFORD |
Zip Code | 36344 |
Specialty | NURSE PRACTITIONER |
City + Specialty | HARTFORD + NURSE PRACTITIONER |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.