Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary Kathryn Locklear, FNP-BC

Individual provider Registered Nurse · NPI 1063171270

Mary Kathryn Locklear, FNP-BC is a Nurse Practitioner in Louisville, Kentucky. Qualified in 2021, 5 years ago. Practices with Coastal Carolina Health Care PA, a 122-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
5
Licensed in
NC
In the registry since
2021
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

See every abbreviation used in this directory →

Practice location Address checks out

312 S 4th St Ste 700
Louisville, KY 40202-3046
Phone: (502) 804-5495
Fax: (833) 563-1715
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 5015559 (NC)
Registered Nurse Taxonomy 163W00000X · Licence 223461 (NC)

Record details

NPI number1063171270
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedDecember 15, 2021
Last updated in NPPESNovember 10, 2025
Certification dateNovember 10, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Coastal Carolina Health Care Pa — 122 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Louisville