KORAH CROCKETT (NPI# 1114401247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114401247 |
| Entity Type | Individual |
| Full Name | KORAH CROCKETT |
| Credential | LVN |
| Practice Address |
3801 State Highway 198 Apt 127 Malakoff TX 75148-4988 |
| Practice Telephone | 9035194663 |
| Mailing Telephone | 9035194663 |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2018-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | 345233 | TX | Nursing Service Providers |
| Street Address |
3801 STATE HIGHWAY 198 APT 127 |
| City | MALAKOFF |
| State | TX |
| Zip Code | 75148-4988 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063505709 | Alisha Marsh | Recreation Therapist | 1201 E. 9th St, Bonham, TX 75148 | 2006-10-02 |
| 1538171491 | Golden Hearts Home Care, LLC | Home Health | 9850 Cr 1308, Malakoff, TX 75148 | 2006-08-12 |
| 1891868923 | Golden Hearts Home Care LLC | Home Health | 9850 Cr 1308, Malakoff, TX 75148 | 2006-11-16 |
| 1043710007 | Melissa Dawn Aaron | Licensed Vocational Nurse | 5449 Sam Houston Dr, Malakoff, TX 75148-3741 | 2018-02-16 |
| 1972702298 | Martha Gail Miller | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 16103 Saint Paul Dr, Malakoff, TX 75148-4370 | 2007-07-16 |
| 1063797157 | Iris Deepti Bhushan | Physical Therapy Assistant | 15 Huckleberry Ln, Malakoff, TX 75148-4734 | 2011-10-20 |
| 1568935096 | David Gastauer | Registered Nurse | 2302 County Road 1703, Malakoff, TX 75148-6124 | 2019-01-08 |
| 1134272859 | Cedar Lake Nursing Home, Inc. | Nursing Facility/Intermediate Care Facility | 1611 W Royall Blvd, Malakoff, TX 75148-6202 | 2007-01-18 |
| 1841756665 | Cynthia Ann Wheeler | Counselor | 5379 County Road 1221, Malakoff, TX 75148-6909 | 2019-02-17 |
| 1225538127 | Kelsey J Hall | Registered Nurse | 14800 County Road 1313, Malakoff, TX 75148-7888 | 2018-02-16 |
| Find all providers in zip 75148 | ||||
| Taxonomy Code | 164X00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Vocational Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043710007 | Melissa Dawn Aaron | Licensed Vocational Nurse | 5449 Sam Houston Dr, Malakoff, TX 75148-3741 | 2018-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083215933 | Alexis D Wilson | Licensed Vocational Nurse | 1610 Maple Ave, Midland, TX 79705-6910 | 2020-11-06 |
| 1861093635 | Janice Joseph | Licensed Vocational Nurse | 3705 Roland Rd, Beaumont, TX 77708-3211 | 2020-11-06 |
| 1366043416 | Ana Swain | Licensed Vocational Nurse | 10202 Bricewood Pl, San Antonio, TX 78254-1995 | 2020-11-05 |
| 1962003855 | Leashia Armstong | Licensed Vocational Nurse | 12603 Woodforest Blvd Apt 1210, Houston, TX 77015-3430 | 2020-11-05 |
| 1770184970 | Jasminn Williams | Licensed Vocational Nurse | 3323 Renaissance Dr, Dallas, TX 75287-5950 | 2020-11-04 |
| 1881295053 | Jaelynda Prothero | Licensed Vocational Nurse | 13787 Macdona Lacoste Rd Lot 20, Atascosa, TX 78002-3532 | 2020-11-04 |
| 1780285130 | Chinonso Jonathan Anyiwo | Licensed Vocational Nurse | 804 Serenity Dr, Cedar Hill, TX 75104-3182 | 2020-11-03 |
| 1972104362 | Adrianna Orosco | Licensed Vocational Nurse | 5511 Shorthorn Dr, Laredo, TX 78046-6179 | 2020-11-03 |
| 1346841764 | Anitra Da'shai Mayes | Licensed Vocational Nurse | 1516 Gurley Ln Apt 3104, Waco, TX 76706-3531 | 2020-11-03 |
| 1588265995 | Penny Reanne Hinders | Licensed Vocational Nurse | 817 Speight Ave Apt 121, Waco, TX 76706-1419 | 2020-11-03 |
| Find all providers with the same taxonomy | ||||
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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.