KRYSTAL SHANTA LOCKETT (NPI# 1699268300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699268300 |
Entity Type | Individual |
Full Name | KRYSTAL SHANTA LOCKETT |
Credential | AGPCNP-BC |
Practice Address |
9677 Highway 21 Atmore AL 36502-4271 |
Mailing Address |
6424 Hampton Park Ct Mobile AL 36608-6800 |
Practice Telephone | 2513688122 |
Mailing Telephone | 2514903477 |
Enumeration Date | 2018-06-08 |
Last Update Date | 2018-06-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 1-148564 | AL | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
1-148564 | AL | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
1-148564 | AL | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
1-148564 | AL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
9677 HIGHWAY 21 |
City | ATMORE |
State | AL |
Zip Code | 36502-4271 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003958885 | George F Wilson | Internal Medicine | 9677 Highway 21, Atmore, AL 36502-4271 | 2007-02-12 |
1275086019 | Brittany Shantel Murry | Nurse Practitioner | 9677 Highway 21, Atmore, AL 36502-4271 | 2016-07-28 |
1740657170 | Felecia Crawford | Nurse Practitioner | 9677 Highway 21, Atmore, AL 36502-4271 | 2015-09-02 |
1578692521 | Shawn Manuel Geohagan | Nurse Practitioner | 9677 Highway 21, Atmore, AL 36502-4271 | 2007-03-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740895200 | Escambia County Alabama Community Hospitals, Inc | Family Medicine | 609 E. Laurel Street, Atmore, AL 36502 | 2020-09-11 |
1932331485 | Buckley and Buckley Family Dentistry | Dentist | 604 E Nashville Ave, Atmore, AL 36502 | 2009-08-18 |
1932343803 | Melanie Showalter Killam | Physical Therapist | 715 East Laurel Street, Atmore Nursing Center, Atmore, AL 36502 | 2009-04-23 |
1326285040 | Gene Allen West | Dentist | 109 7th Avenue, Atmore, AL 36502 | 2009-01-16 |
1134231392 | Paul J Dirkes | Dentist | 5811 Jack Springs Road, Atmore, AL 36502 | 2006-08-31 |
1538111893 | Atmore Community Home Care, LLC | Home Health | 121-c Lindberg Avenue, Atmore, AL 36502 | 2006-05-16 |
1790740793 | Renal Treatment Centers Southeast Lp | Clinic/Center | 807 E Craig St, Atmore, AL 36502 | 2006-04-20 |
1386250710 | Lydia M Bonner | Nurse Practitioner | 609 E. Laurel Street, Atmore, AL 36502 | 2020-09-21 |
1508885732 | Health Plus Chiropractic Center LLC | Chiropractor | 200 N Main St, Atmore, AL 36502 | 2006-07-19 |
1669640041 | Baldwin County Girls Residential Wilderness Program | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 23750 Ewing Farm Road, Atmore, AL 36502-0000 | 2008-02-19 |
Find all providers in zip 36502 |
Taxonomy Code | 363L00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
(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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275086019 | Brittany Shantel Murry | Nurse Practitioner | 9677 Highway 21, Atmore, AL 36502-4271 | 2016-07-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356948368 | Starr Ellen Valerio | Nurse Practitioner | 115 Rachel Dr Nw, Huntsville, AL 35806 | 2020-10-02 |
1336756600 | Vivian Elizabeth Jackson | Nurse Practitioner | 1216 25th St N, Birmingham, AL 35234-3139 | 2020-09-30 |
1104430446 | Victory Health of Oneonta LLC | Nurse Practitioner | 28252 Al-75, Oneonta, AL 35121 | 2020-09-03 |
1467070300 | Sarah Katherine Clarke | Nurse Practitioner | 861 Pinemont Dr, Mobile, AL 36609-3037 | 2020-07-07 |
1104448919 | Thaila Keodouangdy | Nurse Practitioner | 9350 Ofallon Dr, Mobile, AL 36695-9813 | 2020-05-14 |
1447872320 | Irina Guerard | Nurse Practitioner | 8886 Lake View Dr, Fairhope, AL 36532-6939 | 2020-05-13 |
1528680915 | Pure Integrative Wellness and Hydration LLC | Nurse Practitioner | 2703 University Blvd E Ste B, Tuscaloosa, AL 35404-3226 | 2020-05-08 |
1811517402 | Lillian Teicher Branham | Nurse Practitioner | 382 Slaughter Rd, Madison, AL 35758-2008 | 2020-04-23 |
1265061006 | Margaret Kelly Mcclusky | Nurse Practitioner | 10147 Wildwood Ln, Cottondale, AL 35453-1117 | 2020-04-03 |
1427686062 | Tara Cooley | Nurse Practitioner | 909 Tracey Ln, Decatur, AL 35601-7701 | 2020-03-30 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on KRYSTAL SHANTA LOCKETT.
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.