KRYSTAL SHANTA LOCKETT


Address: 9677 Highway 21, Atmore, AL 36502-4271
Phone: 2513688122

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 9677 HIGHWAY 21
City ATMORE
State AL
Zip Code 36502-4271

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275086019 Brittany Shantel Murry Nurse Practitioner 9677 Highway 21, Atmore, AL 36502-4271 2016-07-28

Providers in the same taxonomy and state

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
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Competitor

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City ATMORE
Zip Code 36502

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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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