Robert David Crockett
Nurse Practitioner (Family)

Address: 2828 N National Ave, Springfield, MO 65803-4306
Phone: 4178374000

Robert David Crockett (NPI# 1801883475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1801883475
Entity Type Individual
Full Name Robert David Crockett
Credential FNP
Gender Male
Practice Address 2828 N National Ave
Springfield
MO 65803-4306
Practice Telephone 4178374000
Practice Fax Number 4178754714
Mailing Address 2828 N National Ave
Springfield
MO 65803-4306
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2005-09-29
Last Update Date 2007-07-08

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363LF0000X Nurse Practitioner · Family Physician Assistants & Advanced Practice Nursing Providers 2000160927 MO

Other Provider Identifier

State Identifier Issuer Type Code
P00269324 OTHER RR MEDICARE

Other Providers ROBERT CROCKETT

NPI Name Taxonomy Address Enumeration
1932604907 Robert Crockett Technician 8290 W Sahara Ave Ste 260, Las Vegas, NV 89117-8933 2018-03-29
1235276809 Robert O. Crockett Physical Therapist 2230 N Edwards Ave, Mt Pleasant, TX 75455-2036 2007-01-31
1386758548 Robert Kemp Crockett Emergency Medicine 3100 Sw 62nd Ave, Miami, FL 33155-3009 2006-08-17
1760402622 Robert A Crockett Radiology 155 Glasson Way, Grass Valley, CA 95945-5723 2006-07-20

Physician Overview

NPI 1801883475
PAC ID by PECOS 7315989217
Professional Enrollment ID I20050601000247
Full Name Robert D Crockett
Organization Legal Name REGIONAL SERVICES
Phone Number 4172692281
Gender M
Credential NP
Medical School UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Graduation Year 2004
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 5799787784
Number of Group Practice Members 173
Accepts Medicare Assignment Y
Report Quality Measures Y

Office Location

Street Address 2828 N NATIONAL AVE
City SPRINGFIELD
State MO
Zip Code 65803-4306

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194721100 Brendon Delport Ophthalmology 2828 N National Ave, Springfield, MO 65803-4306 2005-06-23
1194211037 Springfield Behavioral Hospital, LLC Psychiatric Hospital 2828 N National Ave, Springfield, MO 65803-4306 2018-07-03
1639690365 Food Merchants, LLC Pharmacy 2828 N National Ave, Suite Ltc, Springfield, MO 65803-4306 2017-07-03
1821524034 Ozarks Community Hospital, Inc. Psychiatric Hospital 2828 N National Ave, Springfield, MO 65803-4306 2017-05-08
1184165490 Ozarks New Hope Voluntary or Charitable 2828 N National Ave, Springfield, MO 65803-4306 2017-03-20
1356891774 Food Merchants LLC Pharmacy 2828 N National Ave, Suite B, Springfield, MO 65803-4306 2016-10-10
1598117210 Blaine Alan Carter Pharmacist 2828 N National Ave, Suite A, Springfield, MO 65803-4306 2016-07-06
1326496100 Sgoh Acquisition, Inc. Clinic/Center 2828 N National Ave, Springfield, MO 65803-4306 2016-06-02
1891160826 Kristin Wargo Roeder Dietitian, Registered 2828 N National Ave, Springfield, MO 65803-4306 2015-12-02
1043683659 Arthur Karl Mcfarland IIi Pharmacist 2828 N National Ave, Springfield, MO 65803-4306 2015-11-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285145730 Meghan Roetto Social Worker 2130 N Glenstone, Springfield, MO 65803 2017-10-23
1346751757 John B Lehn Pharmacist 2625 N Kansas Expressway, Springfield, MO 65803 2017-10-12
1558805754 Bhg Xliii, LLC Clinic/Center 2551 W Kearney St, Springfield, MO 65803 2016-12-07
1962856187 Karissa Knight Counselor 2438 N Cottage, Springfield, MO 65803 2016-04-14
1417383290 Walgreens Community/Behavioral Health 1525 W Kearny, Springfield, MO 65803 2013-09-24
1790123479 Sarah Fontana Dentist 2241 N. Glenstone Ave., Springfield, MO 65803 2013-06-04
1942499587 Jeci Mora Ramos Jr. Hearing Instrument Specialist 2133 N Nettleton, Springfield, MO 65803 2007-10-19
1598891012 Dwight Richard Daugherty Dentist 3016 N Kentwood, Springfield, MO 65803 2007-02-26
1144388224 Bradley Douglas Graf Dentist 1410 E Kearney, Suite A, Springfield, MO 65803 2006-12-04
1962575662 National Hearing Centers Audiologist-Hearing Aid Fitter 2825 N. Kansas Expwy, Springfield, MO 65803 2006-11-17
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to comeā€¦

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457812869 Angeline Ennis Nurse Practitioner 2115 S Fremont Ave Ste 1100, Springfield, MO 65804-2239 2019-03-28
1346708625 Ellen Kathleen Pitts Nurse Practitioner 1000 E Primrose St Ste 170, Springfield, MO 65807-5192 2019-03-06
1710450762 Amanda Lee Trevino Nurse Practitioner 222 E Primrose St Ste E, Springfield, MO 65807-5233 2019-01-02
1376014902 Charmaine B. Stephens Nurse Practitioner 140 High St Ste 100, Springfield, MA 01105-1449 2018-12-07
1013499326 Danielle Winslow Nurse Practitioner 3300 Main St Ste 2a, Springfield, MA 01199-1002 2018-09-04
1730660267 Sololia Debela Nurse Practitioner 7839 Rolling Rd Ste A, Springfield, VA 22153-2821 2018-08-23
1982184594 Erin Lynn Krieg Nurse Practitioner 355 Us Highway 22, Springfield, NJ 07081-3511 2018-08-14
1659858900 Melissa Moldavskiy Nurse Practitioner 42 Bevier St, Springfield, MA 01107-0110 2018-07-19
1962994483 Marissa Nicole Collier Nurse Practitioner 520 E Wood Ave, Springfield, IL 62702-2639 2018-05-31
1336649342 Kerri House Hill Nurse Practitioner 307 Garner St, Springfield, TN 37172-2328 2018-02-16
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Competitor

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City SPRINGFIELD
Zip Code 65803

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Dataset Information

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.

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