MRS. BRANDI MICHELLE CROCKETT (NPI# 1568841617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568841617 |
| Entity Type | Individual |
| Full Name | MRS. BRANDI MICHELLE CROCKETT |
| Credential | IBCLC |
| Practice Address |
202 N Bogart Ave Granite Falls WA 98252-8406 |
| Practice Telephone | 4253277491 |
| Mailing Telephone | 4253277491 |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2015-05-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174N00000X | Lactation Consultant, Non-RN | L-58067 | WA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437776044 | Brandi Crockett | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2020-06-30 |
| Street Address |
202 N BOGART AVE |
| City | GRANITE FALLS |
| State | WA |
| Zip Code | 98252-8406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336755875 | Sonia Guadalupe Lopez-nava | Interpreter | 304 E Stanley Street, Granite Falls, WA 98252 | 2020-09-21 |
| 1265807739 | New Day Community Counseling, LLC | Community/Behavioral Health | 108 Cascase Ave. Suite A, Granite Falls, WA 98252 | 2015-12-09 |
| 1609242700 | Madysen Pruss | Social Worker | 3223 Robe Menzel Rd, Granite Falls, WA 98252 | 2015-08-12 |
| 1245614924 | Krystal Schultz | Counselor | 108 Cascade Ave, Ste. A, Granite Falls, WA 98252 | 2015-07-13 |
| 1760804827 | Barry Tanne, M.d. | Family Medicine | 403 South Granite Ave, Granite Falls, WA 98252 | 2014-01-09 |
| 1548400187 | K L Everett Dds Pllc | Clinic/Center | 207 E Stanley St Suite B, Granite Falls, WA 98252 | 2009-02-23 |
| 1154580637 | Julie Ann Stark | Specialist | 110 South Alder Ave, Granite Falls, WA 98252 | 2008-06-09 |
| 1750581088 | James Charles Kussy | General Practice | 6119 Robe Menzel Road, Granite Falls, WA 98252 | 2007-07-24 |
| 1326241027 | Kristi Ann Vitale I | Massage Therapist | 403 W. Stanley Street, Granite Falls, WA 98252 | 2007-06-08 |
| 1134343254 | Snohomish County Fire District 17 | Ambulance | 116 S. Granite Avenue, Granite Falls, WA 98252 | 2007-04-12 |
| Find all providers in zip 98252 | ||||
| Taxonomy Code | 174N00000X |
| Grouping | Other Service Providers |
| Classification | Lactation Consultant, Non-RN |
| An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417570797 | Anna Coughlin | Lactation Consultant, Non-RN | 492 Se Wyers St, White Salmon, WA 98672 | 2020-05-21 |
| 1154942902 | Jennifer Monda | Lactation Consultant, Non-RN | 3718 E 27th Ave, Spokane, WA 99223-4035 | 2020-05-04 |
| 1508491580 | Tessa Heller Vogel | Lactation Consultant, Non-RN | 1541 Nw 64th St, Seattle, WA 98107-2343 | 2020-03-10 |
| 1780215392 | Susan F Brady | Lactation Consultant, Non-RN | 304 E 16th Ave, Kennewick, WA 99337-5408 | 2020-02-01 |
| 1093351702 | Jenine Michele Hamilton | Lactation Consultant, Non-RN | 819 N 49th St Ste 215, Seattle, WA 98103-6576 | 2019-11-18 |
| 1922668672 | Maria Masvidal Calpe | Lactation Consultant, Non-RN | 28613 Ne 156th St, Duvall, WA 98019-8015 | 2019-06-15 |
| 1760945638 | Megan Douglas | Lactation Consultant, Non-RN | 9619 E Mill Plain Blvd Apt A, Vancouver, WA 98664-3400 | 2019-04-09 |
| 1265928204 | Heather Pahl | Lactation Consultant, Non-RN | 22435 Se 240th St Apt L304, Maple Valley, WA 98038-6060 | 2018-07-02 |
| 1821585183 | Mary Francell | Lactation Consultant, Non-RN | 1515 Larrabee Ave, Bellingham, WA 98225-7429 | 2018-04-21 |
| 1316453582 | My Lactation Love, LLC | Lactation Consultant, Non-RN | 921 N 7th Ave Sw, Tumwater, WA 98512-6313 | 2017-12-23 |
| Find all providers with the same taxonomy | ||||
| City | GRANITE FALLS |
| Zip Code | 98252 |
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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.