MS. DENISE MARIE CROKEN (NPI# 1073083168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073083168 |
| Entity Type | Individual |
| Full Name | MS. DENISE MARIE CROKEN |
| Credential | NP |
| Practice Address |
637 Washington St Dorchester MA 02124-3510 |
| Mailing Address |
1 Richard St Revere MA 02151-1141 |
| Practice Telephone | 6178259660 |
| Mailing Telephone | 7817249135 |
| Enumeration Date | 2018-11-30 |
| Last Update Date | 2019-05-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN237230 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
RN237230 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
637 WASHINGTON ST |
| City | DORCHESTER |
| State | MA |
| Zip Code | 02124-3510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992791883 | Christine Farrell-riley | Family Medicine | 637 Washington St, Dorchester, MA 02124-3510 | 2005-09-26 |
| 1578180246 | Inje Ham | Student in an Organized Health Care Education/Training Program | 637 Washington St, Dorchester, MA 02124-3510 | 2020-06-29 |
| 1689295750 | Nnemdi Azubuko | Registered Nurse | 637 Washington St, Dorchester, MA 02124-3510 | 2020-04-30 |
| 1235766072 | Oluwatomi Oluwagbemisola Adeoti | Student in an Organized Health Care Education/Training Program | 637 Washington St, Dorchester, MA 02124-3510 | 2020-03-23 |
| 1205473162 | Boston Medical Center Corporation | Pharmacy | 637 Washington St, Dorchester, MA 02124-3510 | 2019-12-10 |
| 1295372563 | Boston Medical Center Corporation Dba Bmc Pharmacy At Codman Square | Pharmacy | 637 Washington St, Dorchester, MA 02124-3510 | 2019-12-05 |
| 1205494630 | Elizabeth Moran | Nurse Practitioner | 637 Washington St, Dorchester, MA 02124 | 2019-05-31 |
| 1467912949 | Meghna Srinath | Family Medicine | 637 Washington St, Dorchester, MA 02124-3510 | 2019-03-21 |
| 1376019380 | Venice Inez Rice-bell | Registered Nurse | 637 Washington St, Dorchester, MA 02124-3510 | 2018-10-17 |
| 1891207858 | Niurka De Jesus | Social Worker | 637 Washington St, Dorchester, MA 02124-3510 | 2017-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679109599 | Yolanda Barner | Behavioral Analyst | 241 Norfolk St, Dorchester, MA 02124 | 2020-03-23 |
| 1144878489 | Marissa Sneed | Case Manager/Care Coordinator | 1059 Tremont St Suit 2, Roxbury Crossing, ME 02124 | 2019-08-29 |
| 1407413487 | Adrian Velasquez Md LLC | Internal Medicine | 2110 Dorchester Ave Ste 205, Seton Building, Dorchester, MA 02124 | 2019-05-24 |
| 1164908794 | Genesis 365 Care LLC | Home Health Aide | 114 Fuller St # 1, Dorchester, MA 02124 | 2018-07-17 |
| 1821581422 | Prince Nwaford | Psychologist | 176 Harvard Street, 2, Boston, MA 02124 | 2018-06-08 |
| 1073026753 | Massachusetts Chiropractic Center LLC | Chiropractor | 879-881 Blue Hill Avenue, Dorchester, MA 02124 | 2017-11-16 |
| 1770096620 | Aly Tran | Behavior Technician | 232 Centre St, Dorchester, MA 02124 | 2017-11-14 |
| 1326564386 | Mildred R Gomez | Community Health Worker | 108 Norfolk St, Dorchester, MA 02124 | 2017-08-21 |
| 1871025585 | Dwight Dorcy | Assistant Behavior Analyst | 7 Samoset St # 3, Dorchester, MA 02124 | 2017-03-31 |
| 1346793452 | Jennie Lee | Nurse Practitioner | 425 Harvard St, Dorchester, MA 02124 | 2016-07-26 |
| Find all providers in zip 02124 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285296624 | Lindsey Miriam Netto | Nurse Practitioner | 20 Sudan St Apt 1, Dorchester, MA 02125-2095 | 2019-07-06 |
| 1346793452 | Jennie Lee | Nurse Practitioner | 425 Harvard St, Dorchester, MA 02124 | 2016-07-26 |
| 1467829614 | Hoa Tran | Nurse Practitioner | 2110 Dorchester Ave Ste 101, Dorchester, MA 02124 | 2015-08-24 |
| 1356774749 | Margaret Mary Vancleve-rocchio | Nurse Practitioner | 135 Humboldt Ave, Dorchester, MA 02121-1260 | 2013-08-21 |
| 1841534906 | Yuliya Vigdorchik | Nurse Practitioner | Carney Hospital - Emergency Department, 2100 Dorchester Ave, Dorchester, MA 02124-5615 | 2012-11-15 |
| 1255576294 | Lindsay Erin White | Nurse Practitioner | 637 Washington St., Codman Square Chc, Dorchester, MA 02124 | 2008-12-04 |
| 1689634859 | Deborah Jane Barnes | Nurse Practitioner | 1140 Dorchester Ave, Dorchester, MA 02125-3305 | 2006-03-23 |
| 1548242746 | Patricia Ann Halon | Nurse Practitioner | 100 Morrissey Blvd, University Health Services, Quinn Adm Building, Dorchester, MA 02125-3300 | 2005-11-15 |
| 1811506397 | Stella Athanasopoulos | Nurse Practitioner | 632 Blue Hill Ave, Dorchester, MA 02121-3293 | 2020-07-30 |
| 1356975981 | Cristy Lynn Galvin | Nurse Practitioner | 230 Bowdoin St, Dorchester, MA 02122-1817 | 2020-02-21 |
| Find all providers in DORCHESTER | ||||
| City | DORCHESTER |
| Zip Code | 02124 |
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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.