MS. KAYLA SAMANTHA LOCKARD CRNP
NPI 1912867573
Nurse Practitioner - Psychiatric/Mental Health in Philadelphia, PA
Active since November 17, 2025
About Ms. Kayla Samantha Lockard Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. KAYLA SAMANTHA LOCKARD CRNP (NPI 1912867573) is an individual psychiatric/mental health provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP034433) and active in the NPI registry since November 2025.
NPPES Registry Identity
NPI1912867573
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. KAYLA SAMANTHA LOCKARDCredential: CRNP
Location Address1930 S BROAD STPhiladelphia, PA 19145-2328
Mailing Address200 Trites AveNorwood, PA 19074-1629
Phone(610) 480-8919
Sole ProprietorNo
Enumeration DateNovember 17, 2025
NPPES CertifiedNovember 16, 2025
✔ NPI 1912867573 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in PA · SP034433
1930 S BROAD ST, Philadelphia, PA 19145
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1912867573, enumerated as an "individual" on November 17, 2025.
The provider is located at 1930 S BROAD ST PHILADELPHIA, PA 19145 and the phone number is (610) 480-8919.
Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.