ELIZABETH MALONEY CROCKETT (NPI# 1912311911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912311911 |
| Entity Type | Individual |
| Full Name | ELIZABETH MALONEY CROCKETT |
| Credential | MSN, FNP-C |
| Practice Address |
1970 Jordan Ave Nw Cleveland TN 37311-1900 |
| Mailing Address |
1065 St Ives Ct Morristown TN 37814-2598 |
| Practice Telephone | 4237907662 |
| Mailing Telephone | 4233127478 |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2015-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
18748 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306106190 | Elizabeth Lee Crockett | Physician Assistant | 4092 Foxwood Dr, Ste 101, Virginia Beach, VA 23462-5225 | 2012-05-25 |
| 1679720775 | Elizabeth Ann Crockett | Nurse Practitioner | 8401 Datapoint Dr, Ste 865, San Antonio, TX 78229 | 2008-08-20 |
| Street Address |
1970 JORDAN AVE NW |
| City | CLEVELAND |
| State | TN |
| Zip Code | 37311-1900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972552198 | Vickie Renee Collins | Nurse Practitioner | 1970 Jordan Ave Nw, Cleveland, TN 37311-1900 | 2006-05-06 |
| 1396298394 | Shannon Brittany Dedmon | Nurse Practitioner | 1970 Jordan Ave Nw, Cleveland, TN 37311-1900 | 2016-07-27 |
| 1992128656 | Tammy Wingo-salmond | Nurse Practitioner | 1970 Jordan Ave Nw, Cleveland, TN 37311-1900 | 2014-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114433570 | Kirstee Williams | Counselor | 1120 North Ocoee Street, Lee University, Cleveland, TN 37311 | 2017-12-21 |
| 1285070458 | Scott Daniel Pugh | Counselor | 183 1st St Ne, Cleveland, TN 37311 | 2013-05-15 |
| 1407299191 | Bess E Howard | Nurse Practitioner | 2449 Spring Creek Blvd, Ne, Cleveland, TN 37311 | 2013-04-11 |
| 1588913925 | Thomas C Reese | Hearing Instrument Specialist | 60 25th Street Ne, Suite 5, Cleveland, TN 37311 | 2012-08-30 |
| 1932484607 | Southeast Tn Human Resource Agency | Non-emergency Medical Transport (VAN) | 165 Edwards Street Se, Cleveland, TN 37311 | 2011-10-13 |
| 1588956106 | Lee M Radford | Orthopaedic Surgery | 2350 N Ocoee Street, Cleveland, TN 37311 | 2011-05-16 |
| 1124251913 | Mcfarland Group Inc. | Durable Medical Equipment & Medical Supplies | 1300 25th St Nw # 104, Cleveland, TN 37311 | 2009-08-27 |
| 1952554834 | Bradley Cleveland Services Inc | Counselor | 2611 Bower Lane, Cleveland, TN 37311 | 2008-10-23 |
| 1851543151 | Bradley Cleveland Services, Inc | Counselor | 2601 Bower Lane Se, Cleveland, TN 37311 | 2008-10-17 |
| 1306098082 | Kidney Center of Cleveland, LLC | Clinic/Center | 2253 Chambliss Avenue, Cleveland, TN 37311 | 2008-10-14 |
| Find all providers in zip 37311 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536370 | Jennifer Lynn Moore | Nurse Practitioner | 203 N College Ave Ste 1001, Cleveland, TX 77327-2500 | 2020-10-20 |
| 1508464132 | Molly Kane Kane Elek | Nurse Practitioner | 17801 Susan Ave, Cleveland, OH 44111-4148 | 2020-10-15 |
| 1619583424 | Paulina Kauzljar | Nurse Practitioner | 11100 Euclid Ave # 1635, Cleveland, OH 44106-1716 | 2020-09-17 |
| 1508479379 | April Danielle Daniel | Nurse Practitioner | 200 E Boothe St Ste 100, Cleveland, TX 77327-4063 | 2020-08-31 |
| 1730792037 | Jalayn Konys | Nurse Practitioner | 3653 W 159th St, Cleveland, OH 44111-5704 | 2020-08-26 |
| 1962014142 | Cassie Ann Williams | Nurse Practitioner | 470 8th St Nw, Cleveland, TN 37311-1811 | 2020-08-19 |
| 1417565912 | Jenae Camille Hennessey | Nurse Practitioner | 3278 Lakewood Dr Nw, Cleveland, TN 37312-2093 | 2020-07-21 |
| 1851918841 | Leslie Torchick Casteel | Nurse Practitioner | 2305 Chambliss Ave Nw Ste 101, Cleveland, TN 37311-3847 | 2020-06-25 |
| 1306462478 | Brooke Denise Booher | Nurse Practitioner | 611 Bell Rd Se, Cleveland, TN 37323-9003 | 2020-06-24 |
| 1174146823 | Andrew John Wrobel | Nurse Practitioner | 3188 W 14th St, Unit 1, Cleveland, OH 44109 | 2020-05-28 |
| Find all providers in CLEVELAND | ||||
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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.