BEVERLY CROCKER (NPI# 1992164594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992164594 |
| Entity Type | Individual |
| Full Name | BEVERLY CROCKER |
| Credential | RN IBCLC |
| Practice Address |
5300 Tallman Ave Nw Seattle WA 98107-3932 |
| Mailing Address |
5540 37th Ave Ne Seattle WA 98105-2202 |
| Practice Telephone | 2067816344 |
| Mailing Telephone | 2065180191 |
| Enumeration Date | 2016-02-11 |
| Last Update Date | 2016-02-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WL0100X |
Registered Nurse Specialization: Lactation Consultant |
00073029 | WA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366912511 | Beverly Crocker | Technician | 17955 Nw 18th Ave, Miami Gardens, FL 33056-3807 | 2018-11-30 |
| Street Address |
5300 TALLMAN AVE NW |
| City | SEATTLE |
| State | WA |
| Zip Code | 98107-3932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104817915 | Marykay Mallinak Livingston | Nurse Anesthetist, Certified Registered | 5300 Tallman Ave Nw, Seattle, WA 98107-3932 | 2005-11-01 |
| 1073131488 | Gwendolyn Starr Curfman | Spec/Tech, Cardiovascular | 5300 Tallman Ave Nw, Seattle, WA 98107-3932 | 2020-07-12 |
| 1801433131 | Jong S Oh | Registered Nurse | 5300 Tallman Ave Nw, Seattle, WA 98107-3932 | 2019-12-05 |
| 1720624224 | Elizabeth Werner | Registered Nurse | 5300 Tallman Ave Nw, Seattle, WA 98107-3932 | 2019-11-20 |
| 1316588106 | Andrew Dauner | Pharmacist | 5300 Tallman Ave Nw, Seattle, WA 98107-3932 | 2019-10-02 |
| 1699324129 | Anthony Delosreyes | Nurse Practitioner | 5300 Tallman Ave Nw, Seattle, WA 98107-3932 | 2019-09-06 |
| 1073175543 | Hend Al Barry | Pharmacist | 5300 Tallman Ave Nw, Seattle, WA 98107 | 2019-07-03 |
| 1558837930 | Christina E Goldie | Nurse Practitioner | 5300 Tallman Ave Nw, Seattle, WA 98107-3932 | 2018-10-23 |
| 1902355654 | Swedish Health Services | Psychiatric Unit | 5300 Tallman Ave Nw, Floor 4 North, Seattle, WA 98107-3932 | 2016-09-22 |
| 1881142958 | Jacqulene Buerman | Pharmacist | 5300 Tallman Ave Nw, Seattle, WA 98107-3932 | 2016-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447897707 | Kaiser Foundation Health Plan of Washington | Pharmacy | 1401 Nw 46th Street, 5th Floor, Seattle, WA 98107 | 2019-12-05 |
| 1619519493 | Charles Aljon Corpuz Agabin | Pharmacist | 1448 Nw Market Street, Suite 100, Seattle, WA 98107 | 2019-10-12 |
| 1427610682 | Dalillah Bernal Nord | Advanced Practice Midwife | 5300 Tallman Ave Nw Ste 420, Seattle, WA 98107 | 2019-07-08 |
| 1740849660 | Harmonic Healing LLC | Acupuncturist | 1551 Nw 54th Street Suite 204, Seattle, WA 98107 | 2019-06-13 |
| 1275198285 | Hsu Tsuchikawa and Wong Pllc | Clinic/Center | 1453 Nw 54th Street, Suite A, Seattle, WA 98107 | 2019-05-06 |
| 1801363502 | Bianca Marie Maggio | Physical Therapist | 5300 Tallman Ave, Outpatient Rehab Services 1-south, Seattle, WA 98107 | 2018-10-31 |
| 1831690726 | Sara Blackmur | Social Worker | 1417 Nw 54th St Ste 324, Seattle, WA 98107 | 2018-02-26 |
| 1225553159 | Jennifer Chain | Psychologist | 5306 Ballard Ave Nw Ste 212, Seattle, WA 98107 | 2017-08-11 |
| 1184148413 | John Julian Heal | Occupational Therapy Assistant | 5440 Leary Ave Nw, Unit 321, Seattle, WA 98107 | 2017-07-28 |
| 1710416169 | Heather Tracey Marie Osias | Social Worker | 2251 Nw 60th Street Apt B, Seattle, WA 98107 | 2017-06-08 |
| Find all providers in zip 98107 | ||||
| Taxonomy Code | 163WL0100X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Lactation Consultant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548771199 | Melissa Lou Coffey | Registered Nurse | 810 Nw 92nd St, Seattle, WA 98117-3205 | 2017-10-22 |
| 1841536729 | Lise Martin | Registered Nurse | 925 N 130th St, Seattle, WA 98133-7502 | 2012-12-20 |
| 1740507961 | Tamara S. Wescott | Registered Nurse | 801 Broadway Ste 718, Seattle, WA 98122-4328 | 2010-04-27 |
| 1285957704 | Robyn Alexi Schweitzer | Registered Nurse | 2626 Sw 112th St, Seattle, WA 98146-1939 | 2010-03-11 |
| 1841494473 | Janet Carol Whalley | Registered Nurse | 7746 Fairway Dr Ne, Seattle, WA 98115-5223 | 2007-06-14 |
| 1194936542 | Judith Herrigel | Registered Nurse | 426 36th Ave, Seattle, WA 98122-6416 | 2007-05-25 |
| 1235348723 | Andrea Kurtzman | Registered Nurse | 4120 42nd Ave S, Seattle, WA 98118-1324 | 2007-05-21 |
| 1356559736 | Celest C Smith | Registered Nurse | 6216 33rd Ave Ne, Seattle, WA 98115-7307 | 2007-05-18 |
| 1346399250 | Tracy Corey | Registered Nurse | 8115 4th Ave Sw, Seattle, WA 98106-2153 | 2007-01-09 |
| 1013081454 | Gracewinds Perinatal Services, Inc. | Registered Nurse | 1415 Nw 70th St, Seattle, WA 98117-5340 | 2006-11-18 |
| Find all providers in SEATTLE | ||||
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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.