JENNA CROCKETT (NPI# 1619232519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619232519 |
| Entity Type | Individual |
| Full Name | JENNA CROCKETT |
| Other Name | JENNA C NASH |
| Credential | PA-C |
| Practice Address |
730 Thimble Shoals Blvd Ste 130 Newport News VA 23606-4562 |
| Practice Telephone | 7578731554 |
| Practice Fax Number | 7578733239 |
| Mailing Telephone | 7578731554 |
| Mailing Fax Number | 7578733239 |
| Enumeration Date | 2012-07-07 |
| Last Update Date | 2019-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1619232519 | 05 | |
| VA | BCBS SUPPLEMENT | 513047 | 01 |
| VA | TRICARE STANDARD AND PRIME | 1619232519 | 01 |
| VA | OPTIMA HEALTH | 10124928P | 01 |
| VA | HUMANA | 1619232519 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306312202 | Jenna Crockett | Family Medicine | 375 S Chipeta Way Ste A, Salt Lake City, UT 84108-1261 | 2018-10-17 |
| 1225374879 | Jenna Crockett | Registered Nurse | 38882 Mentor Ave, Willoughby, OH 44094-7875 | 2012-12-28 |
| Street Address |
730 THIMBLE SHOALS BLVD STE 130 |
| City | NEWPORT NEWS |
| State | VA |
| Zip Code | 23606-4562 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871527408 | Hampton Roads Orthopaedics & Sports Medicine-physical Therapy | Physical Therapist | 730 Thimble Shoals Blvd Ste 130, Physical Therapy, Newport News, VA 23606-4562 | 2006-07-10 |
| 1407411366 | Shannon Jackson | Physical Therapy Assistant | 730 Thimble Shoals Blvd Ste 130, Newport News, VA 23606-4562 | 2019-05-07 |
| 1245793702 | Katherine Henderson | Physical Therapy Assistant | 730 Thimble Shoals Blvd Ste 130, Newport News, VA 23606-4562 | 2019-04-11 |
| 1669933099 | Nghi Dang Tran | Physician Assistant | 730 Thimble Shoals Blvd Ste 130, Newport News, VA 23606-4562 | 2019-03-28 |
| 1851887079 | Stacye Remington Seay | Physical Therapist | 730 Thimble Shoals Blvd Ste 130, Newport News, VA 23606-4562 | 2018-07-11 |
| 1013438779 | Zachary Tan | Orthopaedic Surgery | 730 Thimble Shoals Blvd Ste 130, Newport News, VA 23606-4562 | 2017-07-03 |
| 1528472818 | Shannon Kathleen Holloman | Physician Assistant | 730 Thimble Shoals Blvd Ste 130, Newport News, VA 23606-4562 | 2014-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841815412 | Orthopaedic Surgery & Sports Med Specialist of Hampton Rds PC | Clinic/Center | 580 City Center Blvd, Newport News, VA 23606 | 2020-06-10 |
| 1457907453 | Children of The Kingdom Home Health Care Services LLC | Home Health | 11834 Cannon Blvd., Ste I-4, Newport News, VA 23606 | 2019-08-15 |
| 1730651282 | Asia Denise Gordon | Family Medicine | 12715 Warwick Blvd # M&o, Newport News, VA 23606 | 2018-12-21 |
| 1447732870 | Jean Ann Kimbrel | Counselor | 105 Nat Turner Blvd, Newport News, VA 23606 | 2018-09-01 |
| 1649762816 | Paige Tretter | Physical Therapist | Orthopaedic and Spine Center, 250 Nat Turner Blvd, Newport News, VA 23606 | 2018-06-04 |
| 1447753959 | Milov Margaret Sonnier | Social Worker | 739 Thimble Shoals Blvd Ste 704, Newport News, VA 23606 | 2018-03-10 |
| 1033627740 | F&n Home Health Agency, LLC | Home Health | 751 Thimble Shoals Blvd Ste D1, Newport News, VA 23606 | 2018-01-16 |
| 1962858944 | Helen G Arnold | Family Medicine | 12715 Warwick Blvd Ste M&o, Newport News, VA 23606 | 2016-05-10 |
| 1780089474 | Emily Giordano | Occupational Therapist | 1000 Lakefront Commons, Apt 210, Newport News, VA 23606 | 2014-10-24 |
| 1982043345 | Kreative Milestones Behavioral Healthcare Services | Clinic/Center | 12388 Warwick Blvd Ste 306, Newport News, VA 23606 | 2013-06-19 |
| Find all providers in zip 23606 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639786320 | William Barr | Physician Assistant | 240 Gena Ct, Newport News, VA 23602-6300 | 2020-09-26 |
| 1407327737 | Caroline Suttle | Physician Assistant | 44 Barclay Rd, Newport News, VA 23606-1465 | 2018-12-16 |
| 1447706080 | Megan Elizabeth Cobb | Physician Assistant | 500 J Clyde Morrisl Blvd, Suite 603, Newport News, VA 23601 | 2016-09-01 |
| 1922554112 | Benjamin Timothy Housley | Physician Assistant | 12715 Warwick Blvd Ste O, Commonwealth Family Practice, Newport News, VA 23606-1800 | 2016-08-29 |
| 1679802938 | Taiwo Adeogun | Physician Assistant | 594 Hollins Ct, #105, Newport News, VA 23608-1755 | 2009-12-16 |
| 1275760035 | Ryan Julia Sykes | Physician Assistant | 11828 Canon Blvd Ste E, Newport News, VA 23606-2554 | 2009-06-18 |
| 1992961361 | Tonia Yocum | Physician Assistant | 751 J. Clyde Morris Blvd, Newport News, VA 23601 | 2008-08-05 |
| 1194813048 | Suzanne Fahy Miller | Physician Assistant | 1051 Loftis Blvd Ste 100, Newport News, VA 23606 | 2006-10-10 |
| 1043234818 | Jennifer Morrison | Physician Assistant | 11713 Jefferson Ave, Suite 200, Newport News, VA 23606-2400 | 2006-07-26 |
| 1588625610 | Craig Leslie Knott | Physician Assistant | 116 Lake Pointe Dr, Newport News, VA 23603-1375 | 2006-03-29 |
| Find all providers in NEWPORT NEWS | ||||
| City | NEWPORT NEWS |
| Zip Code | 23606 |
Please comment or provide details below to improve the information on JENNA CROCKETT.
| 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.