SUSAN LUELLA CROCKETT


Address: 803 Craig Ave, Salem, VA 24153-2839
Phone: 5407937729

SUSAN LUELLA CROCKETT (NPI# 1093366700) 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) 1093366700
Entity Type Individual
Full Name SUSAN LUELLA CROCKETT
Practice Address 803 Craig Ave
Salem
VA 24153-2839
Mailing Address 229 Union St
Salem
VA 24153-4929
Practice Telephone 5407937729
Mailing Telephone 5403971355
Enumeration Date 2019-09-24
Last Update Date 2019-09-24
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3747A0650X Technician
Specialization: Attendant Care Provider
Nursing Service Related Providers

Other Providers SUSAN CROCKETT

NPI Name Taxonomy Address Enumeration
1487072807 Susan Crockett Case Manager/Care Coordinator 324 7th Ave, Langdon, ND 58249-2516 2014-04-02
1013341684 Susan C Crockett Behavioral Analyst 3680 N Rancho Dr, Las Vegas, NV 89130-3180 2013-08-30
1821169228 Susan Ann Crockett Obstetrics & Gynecology 540 Madison Oak, Suite 450, San Antonio, TX 78258-3943 2006-11-10

Office Location

Street Address 803 CRAIG AVE
City SALEM
State VA
Zip Code 24153-2839

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669001228 Paul Mcguire Student in an Organized Health Care Education/Training Program 1906 Braeburn Drive Psychiatry Gme, Salem, VA 24153 2020-04-06
1386114965 Dynamic Medical LLC Clinical Medical Laboratory 1201 Texas Street, Salem, VA 24153 2018-11-27
1134607898 Renew Psychiatry Services Psychiatry & Neurology 177 Electric Rd, Salem, VA 24153 2018-08-03
1508304015 Samantha Getz Assisted Living Facility 3706 Knollridge Rd., Salem, VA 24153 2017-02-03
1518409762 Melissa Ward Case Manager/Care Coordinator 1380 Southside Dr, Suite 100, Salem, VA 24153 2016-11-04
1154729051 Allison Marie Parry Physician Assistant 1336 W Main St., Salem, VA 24153 2014-12-09
1598199457 Stacy Stanley Occupational Therapy Assistant 4812 Moore Rd, Salem, VA 24153 2013-08-28
1366888034 Dolores Hager Speech-Language Pathologist 1851 Harrogate Dr, Salem, VA 24153 2013-05-21
1073850764 Joel Aaron Nickerson Specialist/Technologist 400 Spartan Dr., Salem High School, Salem, VA 24153 2013-01-15
1023387271 National Diabetic Medical Supply, LLC Durable Medical Equipment & Medical Supplies 2153 Apperson Drive, Salem, VA 24153 2011-12-16
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Taxonomy Information

Taxonomy Code 3747A0650X
Grouping Nursing Service Related Providers
Classification Technician
Specialization Attendant Care Provider

Taxonomy Definition

An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720615115 Darcy Sue Ducheneaux Technician 131 W Drake Ave, Salem, SD 57058-8980 2020-03-25
1841822996 Beverley Ann Service Technician 2355 Morrow Ct Nw, Salem, OR 97304-1763 2020-02-06
1104469758 Deonne Grimmer Technician 2308 Rogers Ln Nw, Salem, OR 97304-1007 2019-10-25
1356992663 Dorothy Adkins Technician 383 Lee Road 334, Salem, AL 36874-3713 2019-09-27
1902455280 Casey E Thomas Technician 4745 Horseshoe Ct Se, Salem, OR 97317-5539 2019-09-09
1407498074 Jacob Benjamin Johnston Technician 1233 Edgewater St Nw, Salem, OR 97304-4049 2019-10-15
1043861347 Mary Otey Technician 1970 Roanoke Blvd, Salem, VA 24153-6478 2019-09-27
1225689045 Sarah F Thomas Technician 4745 Horseshoe Ct Se, Salem, OR 97317-5539 2019-09-23
1952951279 Vera Walker Sparrow Technician 1970 Roanoke Blvd, Salem, VA 24153-6478 2019-09-18
1235789686 Arlene Joan Ingram Technician 1970 Roanoke Blvd, Salem, VA 24153-6478 2019-09-18
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Competitor

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City SALEM
Zip Code 24153

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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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