MS. DENISE MARIE CROKEN


Address: 637 Washington St, Dorchester, MA 02124-3510
Phone: 6178259660

MS. DENISE MARIE CROKEN (NPI# 1073083168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073083168
Entity Type Individual
Full Name MS. DENISE MARIE CROKEN
Credential NP
Practice Address 637 Washington St
Dorchester
MA 02124-3510
Mailing Address 1 Richard St
Revere
MA 02151-1141
Practice Telephone 6178259660
Mailing Telephone 7817249135
Enumeration Date 2018-11-30
Last Update Date 2019-05-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
RN237230 MA Physician Assistants & Advanced Practice Nursing Providers
N 363LP2300X Nurse Practitioner
Specialization: Primary Care
RN237230 MA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 637 WASHINGTON ST
City DORCHESTER
State MA
Zip Code 02124-3510

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992791883 Christine Farrell-riley Family Medicine 637 Washington St, Dorchester, MA 02124-3510 2005-09-26
1578180246 Inje Ham Student in an Organized Health Care Education/Training Program 637 Washington St, Dorchester, MA 02124-3510 2020-06-29
1689295750 Nnemdi Azubuko Registered Nurse 637 Washington St, Dorchester, MA 02124-3510 2020-04-30
1235766072 Oluwatomi Oluwagbemisola Adeoti Student in an Organized Health Care Education/Training Program 637 Washington St, Dorchester, MA 02124-3510 2020-03-23
1205473162 Boston Medical Center Corporation Pharmacy 637 Washington St, Dorchester, MA 02124-3510 2019-12-10
1295372563 Boston Medical Center Corporation Dba Bmc Pharmacy At Codman Square Pharmacy 637 Washington St, Dorchester, MA 02124-3510 2019-12-05
1205494630 Elizabeth Moran Nurse Practitioner 637 Washington St, Dorchester, MA 02124 2019-05-31
1467912949 Meghna Srinath Family Medicine 637 Washington St, Dorchester, MA 02124-3510 2019-03-21
1376019380 Venice Inez Rice-bell Registered Nurse 637 Washington St, Dorchester, MA 02124-3510 2018-10-17
1891207858 Niurka De Jesus Social Worker 637 Washington St, Dorchester, MA 02124-3510 2017-10-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679109599 Yolanda Barner Behavioral Analyst 241 Norfolk St, Dorchester, MA 02124 2020-03-23
1144878489 Marissa Sneed Case Manager/Care Coordinator 1059 Tremont St Suit 2, Roxbury Crossing, ME 02124 2019-08-29
1407413487 Adrian Velasquez Md LLC Internal Medicine 2110 Dorchester Ave Ste 205, Seton Building, Dorchester, MA 02124 2019-05-24
1164908794 Genesis 365 Care LLC Home Health Aide 114 Fuller St # 1, Dorchester, MA 02124 2018-07-17
1821581422 Prince Nwaford Psychologist 176 Harvard Street, 2, Boston, MA 02124 2018-06-08
1073026753 Massachusetts Chiropractic Center LLC Chiropractor 879-881 Blue Hill Avenue, Dorchester, MA 02124 2017-11-16
1770096620 Aly Tran Behavior Technician 232 Centre St, Dorchester, MA 02124 2017-11-14
1326564386 Mildred R Gomez Community Health Worker 108 Norfolk St, Dorchester, MA 02124 2017-08-21
1871025585 Dwight Dorcy Assistant Behavior Analyst 7 Samoset St # 3, Dorchester, MA 02124 2017-03-31
1346793452 Jennie Lee Nurse Practitioner 425 Harvard St, Dorchester, MA 02124 2016-07-26
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285296624 Lindsey Miriam Netto Nurse Practitioner 20 Sudan St Apt 1, Dorchester, MA 02125-2095 2019-07-06
1346793452 Jennie Lee Nurse Practitioner 425 Harvard St, Dorchester, MA 02124 2016-07-26
1467829614 Hoa Tran Nurse Practitioner 2110 Dorchester Ave Ste 101, Dorchester, MA 02124 2015-08-24
1356774749 Margaret Mary Vancleve-rocchio Nurse Practitioner 135 Humboldt Ave, Dorchester, MA 02121-1260 2013-08-21
1841534906 Yuliya Vigdorchik Nurse Practitioner Carney Hospital - Emergency Department, 2100 Dorchester Ave, Dorchester, MA 02124-5615 2012-11-15
1255576294 Lindsay Erin White Nurse Practitioner 637 Washington St., Codman Square Chc, Dorchester, MA 02124 2008-12-04
1689634859 Deborah Jane Barnes Nurse Practitioner 1140 Dorchester Ave, Dorchester, MA 02125-3305 2006-03-23
1548242746 Patricia Ann Halon Nurse Practitioner 100 Morrissey Blvd, University Health Services, Quinn Adm Building, Dorchester, MA 02125-3300 2005-11-15
1811506397 Stella Athanasopoulos Nurse Practitioner 632 Blue Hill Ave, Dorchester, MA 02121-3293 2020-07-30
1356975981 Cristy Lynn Galvin Nurse Practitioner 230 Bowdoin St, Dorchester, MA 02122-1817 2020-02-21
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Competitor

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City DORCHESTER
Zip Code 02124

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Dataset Information

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.

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