JUDY CROCKETT (NPI# 1063963510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063963510 |
| Entity Type | Individual |
| Full Name | JUDY CROCKETT |
| Practice Address |
7601 Imperial Hwy Downey CA 90242-3456 |
| Practice Telephone | 5623856027 |
| Mailing Telephone | 5623856027 |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2016-10-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP2201X |
Registered Nurse Specialization: Ambulatory Care |
521331 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730645052 | Judy L Crockett | Counselor | 115 Chestnut St Apt B, Saint Louis, MI 48880-1308 | 2019-02-11 |
| Street Address |
7601 IMPERIAL HWY |
| City | DOWNEY |
| State | CA |
| Zip Code | 90242-3456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043257082 | Mark James Borigini | Internal Medicine | 7601 Imperial Hwy, Downey, CA 90242-3456 | 2006-05-31 |
| 1306459151 | Kristin Anderson | Dentist | 7601 Imperial Hwy, Downey, CA 90242-3456 | 2020-08-30 |
| 1609489277 | Jeffrey Fuqua Kerbel | Physical Therapist | 7601 Imperial Hwy, Downey, CA 90242-3456 | 2020-08-24 |
| 1023636354 | Jung Won Lee | Occupational Therapist | 7601 Imperial Hwy, Downey, CA 90242-3456 | 2020-07-13 |
| 1972121358 | Samuel Quinn Kaplan | Physical Therapist | 7601 Imperial Hwy, Downey, CA 90242-3456 | 2020-07-11 |
| 1538782362 | Deanida Wray Andrews | Dietitian, Registered | 7601 Imperial Hwy, Downey, CA 90242-3456 | 2020-05-27 |
| 1316574445 | Amy Nicole Ganser | Speech-Language Pathologist | 7601 Imperial Hwy, Downey, CA 90242-3456 | 2020-03-26 |
| 1750917746 | Hannah Kate Rhodes | Speech-Language Pathologist | 7601 Imperial Hwy, Downey, CA 90242-3456 | 2020-03-21 |
| 1992338933 | Samantha Smith | Dietitian, Registered | 7601 Imperial Hwy, Downey, CA 90242-3456 | 2020-02-18 |
| 1780215723 | Lydia Ellen Van Hoff | Physical Therapist | 7601 Imperial Hwy, Downey, CA 90242-3456 | 2020-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972117182 | Andy Vo Osborne | Respiratory Therapist, Registered | 9333 E Imperial High Way, Downey, CA 90242 | 2020-09-04 |
| 1639783459 | Enrique Robles Soto | Behavior Technician | 12432 Bellflower Blvd., Downey, CA 90242 | 2020-08-31 |
| 1043842461 | Paul Yokoyama | Pharmacist | 9542 Dalen Street, Downey, CA 90242 | 2020-02-05 |
| 1639727837 | Demontay Deon High | Behavior Technician | 12342 Bellflower Blvd, Downey, CA 90242 | 2019-08-30 |
| 1467922328 | Nurisha Ficklin | Behavior Technician | 12342 Bellflower Blvd., Downey, CA 90242 | 2018-12-04 |
| 1235622358 | Marlene Castaneda | Occupational Therapist | 12555 Lakewood Blvd Ste D, Downey, CA 90242 | 2018-06-13 |
| 1942727383 | Arhtur Lozano | Non-emergency Medical Transport (VAN) | 13109 Woodruff Ave, Downey, CA 90242 | 2017-08-26 |
| 1336665983 | Laura E Del Val | Nurse Practitioner | 12207 Rives Ave, Downey, CA 90242 | 2017-08-16 |
| 1982127288 | Tiffany Chiyeko Yonemoto | Recreation Therapist | 7601 E. Imperial Hwy., Downey, CA 90242 | 2017-07-19 |
| 1265955504 | Julie Helgren | Recreation Therapist | 7601 E. Imperial Highway, Jpi Building Rm 1124, Downey, CA 90242 | 2017-07-19 |
| Find all providers in zip 90242 | ||||
| Taxonomy Code | 163WP2201X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Ambulatory Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619336773 | Kimberly Jarrett | Registered Nurse | 7601e Imperial Hwy, Downey, CA 90242-3456 | 2016-02-17 |
| 1124558663 | Lance Del Rosario | Registered Nurse | 7601 Imperial Hwy, Downey, CA 90242-3456 | 2017-06-18 |
| 1750815536 | Liliana Rubio | Registered Nurse | 7601 Imperial Hwy, Downey, CA 90242-3456 | 2017-04-18 |
| 1154855955 | Elizabeth Hilario | Registered Nurse | 7601 Imperial Hwy, Downey, CA 90242-3456 | 2017-04-18 |
| 1659805760 | Yeesmi K Pulido | Registered Nurse | 7601 Imperial Hwy, Downey, CA 90242-3456 | 2017-04-14 |
| 1043744261 | Wan-hee Cho | Registered Nurse | 7601 Imperial Hwy, Downey, CA 90242-3456 | 2017-04-13 |
| 1407388184 | Joseph Tadeo | Registered Nurse | 7601 Imperial Hwy, Downey, CA 90242-3456 | 2017-03-31 |
| 1730621079 | Elsie Galano David | Registered Nurse | 7601 Imperial Hwy, Downey, CA 90242-3456 | 2016-11-16 |
| 1104368299 | Roberta Chaidez | Registered Nurse | 7601 Imperial Hwy, Downey, CA 90242-3456 | 2016-11-07 |
| 1649722091 | Tomas Andrew Alebusa Jaca | Registered Nurse | 7601 Imperial Hwy, Downey, CA 90242-3456 | 2016-11-02 |
| Find all providers in DOWNEY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.