MR. CLYDE MILTON LOCKETT JR.
NPI 1174291520
Contractor in South Bend, IN

Active since September 01, 2021
1251 N EDDY ST STE 200, SOUTH BEND, IN 46617(219) 312-1020 Get Directions Write a Review

NPPES record last updated: September 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Clyde Milton Lockett Jr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. CLYDE MILTON LOCKETT JR. (NPI 1174291520) is an individual contractor provider in South Bend, Indiana and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1174291520
Entity TypeIndividualMale
Primary Taxonomy171W00000X
Provider Legal NameMR. CLYDE MILTON LOCKETT JR.
Location Address1251 N EDDY ST STE 200South Bend, IN 46617-1478
Mailing AddressPo Box 312Crown Point, IN 46308-0312
Sole ProprietorYes
Enumeration DateSeptember 1, 2021
NPPES CertifiedAugust 31, 2021
NPI 1174291520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyContractorOther Service Providers
Taxonomy Code171W00000X
Definition
For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status.
Also ListedDriverTaxonomy 172A00000X
1251 N EDDY ST STE 200, South Bend, IN 46617

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Home Health
1251 N EDDY ST STE 200
SOUTH BEND, IN 46617
Behavior Analyst
1251 N EDDY ST STE 200
SOUTH BEND, IN 46617
Counselor (Professional)
1251 N EDDY ST STE 200
SOUTH BEND, IN 46617
Psychologist
1251 N EDDY ST STE 200
SOUTH BEND, IN 46617
Registered Nurse
1251 N EDDY ST STE 200
SOUTH BEND, IN 46617
Nurse Practitioner (Family)
1251 N EDDY ST STE 200
SOUTH BEND, IN 46617
Nurse Practitioner (Family)
1251 N EDDY ST STE 200
SOUTH BEND, IN 46617
Behavior Analyst
1251 N EDDY ST STE 200
SOUTH BEND, IN 46617

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clyde Lockett's NPI number?

The NPI number for Clyde Lockett is 1174291520. It was assigned to this individual provider in the NPPES registry on September 1, 2021.

Where is Clyde Lockett located?

Clyde Lockett practices at 1251 N Eddy St Ste 200, South Bend, IN 46617. The listed phone number is (219) 312-1020.

What is Clyde Lockett's specialty?

The primary specialty registered for this NPI is Contractor with taxonomy code 171W00000X.

When was this NPI record last updated?

The NPPES record for Clyde Lockett was last updated on September 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.