KATRINA RENEE LOCK (NPI# 1245505585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245505585 |
| Entity Type | Individual |
| Full Name | KATRINA RENEE LOCK |
| Credential | FNP |
| Practice Address |
26136 Us Highway 59 Fairfax MO 64446 |
| Mailing Address |
26136 Us Highway 59 Fairfax MO 64446-9105 |
| Practice Telephone | 6606862211 |
| Practice Fax Number | 6606862618 |
| Mailing Telephone | 6606862211 |
| Mailing Fax Number | 6606862618 |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2019-02-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2017021975 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 120 Industrial Dr, Lawrenceburg, IN 470251116 | 8125375616 | 8125371804 |
| Street Address |
26136 US HIGHWAY 59 |
| City | FAIRFAX |
| State | MO |
| Zip Code | 64446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336118397 | Community Hospital Association | Home Health | 26136 Us Highway 59, Fairfax, MO 64446-8155 | 2006-03-14 |
| 1710530654 | Elizabeth Renshaw | Nurse Practitioner | 26136 Us Highway 59, Fairfax, MO 64446-9105 | 2019-07-19 |
| 1972061612 | Aaron Dean Glenn | Nurse Practitioner | 26136 Us Highway 59, Fairfax, MO 64446-9105 | 2019-03-12 |
| 1063928307 | Kelsi Holthus | Occupational Therapist | 26136 Us Highway 59, Fairfax, MO 64446-9105 | 2017-12-22 |
| 1982016754 | Kelly Osborn | Nurse Anesthetist, Certified Registered | 26136 Us Highway 59, Fairfax, MO 64446-9105 | 2014-05-28 |
| 1023448164 | Rebecca Heits | Nurse Practitioner | 26136 Us Highway 59, Fairfax, MO 64446-9105 | 2013-11-26 |
| 1144650938 | Diagnostic Radiology PC Vein Clinic | Radiology | 26136 Us Highway 59, Fairfax, MO 64446-9105 | 2013-11-15 |
| 1942638705 | Harold Ray Lawrence | Pharmacist | 26136 Us Highway 59, Fairfax, MO 64446-9105 | 2013-10-14 |
| 1184063224 | Lindsay Williams | Family Medicine | 26136 Us Highway 59, Fairfax, MO 64446-9105 | 2013-06-21 |
| 1245566314 | Melissa Sue Masonbrink | Nurse Practitioner | 26136 Us Highway 59, Fairfax, MO 64446-8155 | 2009-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639204878 | Janet L Hunter | Speech-Language Pathologist | 200 Sixth St., Box 230, Fairfax, MO 64446 | 2007-02-21 |
| 1811518939 | Bentley Enterprises, LLC | Home Health | 100 East Main, Fairfax, MO 64446 | 2020-04-29 |
| 1821165325 | Oxy-med, Inc. | Durable Medical Equipment & Medical Supplies | 26146 Us Hwy 59, Fairfax, MO 64446-0237 | 2006-11-29 |
| 1205254216 | Theresa Lee Crawford | Nurse Practitioner | 26136 Hwy 59, Fairfax, MO 64446-0446 | 2014-04-07 |
| 1750612271 | Tracy Lynn Oswald | Physical Therapy Assistant | 405 E Main St, Fairfax, MO 64446-8155 | 2010-01-22 |
| 1699001529 | Karla Mae Worley | Physical Therapy Assistant | 405 E Main St, Fairfax, MO 64446-8155 | 2009-10-28 |
| 1790975605 | Yolanda Martinez Ackerman | Occupational Therapist | 405 E Main St, Fairfax, MO 64446-8155 | 2007-07-26 |
| 1144380510 | Allison Godchaux | Nurse Practitioner | 405 E Main St, Fairfax, MO 64446-8155 | 2006-12-08 |
| 1134275258 | Fairfax R-3 School District | Local Education Agency (LEA) | 500 E Main St, Fairfax, MO 64446-9131 | 2007-01-25 |
| 1205925518 | David Leon Scarbrough | Dentist | 503 N Broadway St, Fairfax, MO 64446-9226 | 2006-10-12 |
| Find all providers in zip 64446 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144147 | Emily Turner | Nurse Practitioner | 1099 Main St, Fairfax, VT 05454-9529 | 2020-11-06 |
| 1366041790 | Stephanie Ferber | Nurse Practitioner | 8081 Innovation Park Dr Fl 7, Fairfax, VA 22031-4867 | 2020-10-16 |
| 1578160198 | Northern Virginia Holistic Primary Care | Nurse Practitioner | 10304 Eaton Pl Ste 100, Fairfax, VA 22030-2238 | 2020-10-06 |
| 1821606377 | Lindsay Ann Bruno | Nurse Practitioner | 2921 District Ave Apt 504, Fairfax, VA 22031-2334 | 2020-07-21 |
| 1013534106 | Natalia Castro | Nurse Practitioner | 12817 Hamlet Hill Way, Fairfax, VA 22030-7250 | 2020-07-06 |
| 1629601448 | Lia Hoa Van | Nurse Practitioner | 3811 Glenbrook Rd, Fairfax, VA 22031-3105 | 2020-02-20 |
| 1043850175 | Olga Michelle Zaiter | Nurse Practitioner | 2740 Prosperity Ave Ste 100, Fairfax, VA 22031-4354 | 2020-01-07 |
| 1821650177 | Evelyne Kingori | Nurse Practitioner | 3022 Javier Rd Ste 105a, Fairfax, VA 22031-4646 | 2019-07-07 |
| 1770149726 | Laura E. Diaz | Nurse Practitioner | 3923 Old Lee Hwy Ste 61a, Fairfax, VA 22030-2428 | 2019-05-15 |
| 1295253102 | Mildred J Medrano | Nurse Practitioner | 9229 Arlington Arlington Blvd., Fairfax, VA 22031 | 2017-08-31 |
| Find all providers in FAIRFAX | ||||
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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.