Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174291520 Individual Practitioner Male Practitioner

Clyde Milton Lockett

Contractor • South Bend, IN

Professional Overview & Biography Verified Profile Summary

Clyde Lockett is a registered healthcare professional specializing in Contractor in South Bend, IN. Practice services are available at 1251 N EDDY ST STE 200 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1251 N Eddy St Ste 200

South Bend, IN 466171478

Telephone 2193121020
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Contractor in South Bend, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 20.5 Yrs
Regional Practice Density
3 Specialists

Practicing in South Bend, IN (338 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-08-31
Contractor Primary Specialty

NUCC Taxonomy Code: 171W00000X

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).

Driver

NUCC Taxonomy Code: 172A00000X

A person employed to operate a motor vehicle as a carrier of persons or property.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
NPI 1194267476

Doctor of Philosophy (Ph.D.), Licensed Clinical Professional Counselor, Licensed Mental Health Counselor

Pratima Dhakal , FNP

Nurse Practitioner - Family

NPI 1619447976

Family Nurse Practitioner

NPI 1669835252

Board Certified Behavior Analyst

Dr. David Smith , PhD, ABPP, HSPP

Psychologist - Clinical

NPI 1942487483

Doctor of Philosophy (Ph.D.), ABPP, HSPP

Anna Burton

Technician, Pathology - Phlebotomy

NPI 1972257913

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 01, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location September 01, 2021

Registered at 1251 N EDDY ST STE 200, SOUTH BEND, IN 466171478 (Tel: 2193121020)

📍
Updated Business Mailing Address September 01, 2021

Registered at PO BOX 312, CROWN POINT, IN 463080312

👤
Provider Name / Credentials Updated September 01, 2021

Recorded as CLYDE LOCKETT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 01, 2021

Contractor

🟢
Initial NPI Registration & Enumeration September 01, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174291520
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 01, 2021
Last Update: September 01, 2021
Sole Proprietor: Yes

Mailing Address

Po Box 312

Crown Point, IN 463080312

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.