MRS. CHYVON NICHOLE CROCKETT (NPI# 1427591213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427591213 |
| Entity Type | Individual |
| Full Name | MRS. CHYVON NICHOLE CROCKETT |
| Credential | LPN |
| Practice Address |
1021 W 51st St Ashtabula OH 44004-6725 |
| Practice Telephone | 4406504904 |
| Mailing Telephone | 4406504904 |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2016-11-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 158104 | OH | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | OHIO BOARD OF NURSING LICENSE NUMBER | LPN 158104 M-IV | 01 |
| Street Address |
1021 W 51ST ST |
| City | ASHTABULA |
| State | OH |
| Zip Code | 44004-6725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174167050 | Jack Lemmon | Physical Therapist | 2515 Lake Rd E, Ashtabula, OH 44004 | 2019-11-04 |
| 1871060608 | Ahmed Shahata | Obstetrics & Gynecology | Ashtabula County Medical Center/obgyn Dept, 2420 Lake Ave, Ashtabula, OH 44004 | 2018-10-30 |
| 1861999013 | Thomas Webber | Counselor | 2801 C. Court, Ashtabula, OH 44004 | 2018-04-12 |
| 1942702428 | Troy Mills | Hearing Instrument Specialist | 2604 West Prospect Rd, Ashtabula, OH 44004 | 2018-03-01 |
| 1598294886 | Howard Edward Loftus Jr. | Counselor | 4726 Main Ave., Ashtabula, OH 44004 | 2017-06-08 |
| 1861928087 | Hannah Woods | Physical Therapist | 3720 N Ridge Road W, Ashtabula, OH 44004 | 2017-05-08 |
| 1376095422 | Lantern of Saybrook | Assisted Living Facility | 3720 North Ridge Road West, Ashtabula, OH 44004 | 2016-10-25 |
| 1801346366 | Melissa Marie Holland | Licensed Practical Nurse | 2124 W Prospect Rd, Ashtabula, OH 44004 | 2016-10-09 |
| 1184080087 | Kevin M Welsh | Speech-Language Pathologist | 2240 Wade Ave, Ashtabula, OH 44004 | 2016-01-07 |
| 1285021709 | David Hefner | Early Intervention Provider Agency | 600 State Road, Ashtabula, OH 44004 | 2015-04-22 |
| Find all providers in zip 44004 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003317629 | Tila Maire Ernst | Licensed Practical Nurse | 6112 Lucas Ave, Ashtabula, OH 44004-6318 | 2018-02-28 |
| 1609317783 | Megan Louise Delvalle | Licensed Practical Nurse | 5805 Shepard Rd, Ashtabula, OH 44004-6444 | 2017-03-09 |
| 1801346366 | Melissa Marie Holland | Licensed Practical Nurse | 2124 W Prospect Rd, Ashtabula, OH 44004 | 2016-10-09 |
| 1912377821 | Yadira Castrillon | Licensed Practical Nurse | 1011 Carriage Hill Dr Apt D303, Ashtabula, OH 44004-7452 | 2015-10-05 |
| 1538544929 | Melissa Padilla | Licensed Practical Nurse | 6028 Mcnutt Ave, Ashtabula, OH 44004-6326 | 2015-07-27 |
| 1831577519 | Sharada Rose Kukla | Licensed Practical Nurse | 3422 Jefferson Rd, Ashtabula, OH 44004-9113 | 2015-05-13 |
| 1447655592 | Tia Hudson | Licensed Practical Nurse | 1307 E 15th St, Ashtabula, OH 44004-3631 | 2014-10-31 |
| 1992122121 | Dawn Benson | Licensed Practical Nurse | 3040 Blair Ave, Ashtabula, OH 44004-5270 | 2014-03-26 |
| 1417378928 | Valerie Nye | Licensed Practical Nurse | 3340 Dickenson Rd, Ashtabula, OH 44004-4408 | 2013-12-31 |
| 1134550874 | Stephanie Bartone | Licensed Practical Nurse | 6525 Hiram Ave, Ashtabula, OH 44004-7634 | 2013-12-05 |
| Find all providers in ASHTABULA | ||||
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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.