DESSARAE LOCKHART NURSE PRACTITIONER NPI 1114602786

NPI Information

  • NPI: 1114602786
  • Provider Name: DESSARAE LOCKHART, NURSE PRACTITIONER
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2304 HIGHWAY 121
    BEDFORD, TX
    ZIP 76021
  • Phone: (214) 970-6817

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NPI Details

Dessarae Lockhart, NURSE PRACTITIONER is a family nurse practitioner in Bedford, TX with 2 years of experience. Dessarae Lockhart, NURSE PRACTITIONER NPI is 1114602786. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2304 HIGHWAY 121
BEDFORD, TX
ZIP 76021-985
Phone: (214) 970-6817
Fax: (844) 803-4513

The NPI 1114602786 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/20/2023 and was last updated on 6/20/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyF05230482TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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