JESSICA CROCKER (NPI# 1164942694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164942694 |
| Entity Type | Individual |
| Full Name | JESSICA CROCKER |
| Practice Address |
210 Ne Tudor Rd Lees Summit MO 64086-5696 |
| Practice Telephone | 8882563814 |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2017-08-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2017021767 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
2015040563 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
14-123272-031 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326536657 | Jessica Crocker | Physical Therapist | 88 Harbor Dr, Saco, ME 04072-2148 | 2018-04-23 |
| 1487192886 | Jessica Ann Crocker | Chiropractor | 1440 W Republic Rd Ste 112, Springfield, MO 65807 | 2017-02-06 |
| Street Address |
210 NE TUDOR RD |
| City | LEES SUMMIT |
| State | MO |
| Zip Code | 64086-5696 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013905520 | Robert Francis Dorsey | Family Medicine | 210 Ne Tudor Rd, Lees Summit, MO 64086-5696 | 2005-10-10 |
| 1992324370 | Chasidy Darnell | Nurse Practitioner | 210 Ne Tudor Rd, Lees Summit, MO 64086-5696 | 2020-04-15 |
| 1447801493 | Hollie Meyer | Nurse Practitioner | 210 Ne Tudor Rd, Lees Summit, MO 64086-5696 | 2019-09-21 |
| 1679134423 | Laura Naomi Miller | Nurse Practitioner | 210 Ne Tudor Rd, Lees Summit, MO 64086-5696 | 2019-06-24 |
| 1356803688 | Dana Michelle Denson | Nurse Practitioner | 210 Ne Tudor Rd, Lees Summit, MO 64086-5696 | 2019-04-04 |
| 1376033027 | Heather Louise Parrish | Nurse Practitioner | 210 Ne Tudor Rd, Lees Summit, MO 64086 | 2018-05-17 |
| 1811405525 | Jennifer Radcliff | Nurse Practitioner | 210 Ne Tudor Rd, Lees Summit, MO 64086-5696 | 2018-01-16 |
| 1780117952 | Valicia Kay Kirby | Nurse Practitioner | 210 Ne Tudor Rd, Lees Summit, MO 64086-5696 | 2017-04-05 |
| 1659819688 | James Burrow Jr. | Nurse Practitioner | 210 Ne Tudor Rd, Lees Summit, MO 64086-5696 | 2017-02-10 |
| 1063956910 | Denise Frances Flynn | Nurse Practitioner | 210 Ne Tudor Rd, Lees Summit, MO 64086-5696 | 2016-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740821057 | David L Harrison | Pharmacist | 6 Nw Sycamore St Ste A, Lees Summit, MO 64086 | 2019-10-08 |
| 1770069403 | Foster Family Pharmacy | Pharmacy | 6 Nw Sycamore St., Suite A, Lee's Summit, MO 64086 | 2018-07-16 |
| 1255716221 | Summit Eye Center, LLC | Ophthalmology | 1621 Nw Blue Parkway, Lees Summit, MO 64086 | 2015-07-20 |
| 1679954085 | Day By Day Staff Relief, LLC | Hospice Care, Community Based | 943 Ne Columbus Street, Lees Summit, MO 64086 | 2015-06-11 |
| 1831505544 | Johnathan Almeida | Emergency Medicine | 100 Ne St Lukes Blvd, Emergency Department, Lees Summit, MO 64086 | 2014-07-02 |
| 1215358429 | Alex Sharifian Dds Summit Modern Dentistry PC | Dentist | 940 Nw Blue Parkway, Suite A, Lee's Summit, MO 64086 | 2013-12-16 |
| 1477807303 | Lauren M Lee | Nurse Practitioner | 1425 Nw Blue Parkway, Lee's Summit, MO 64086 | 2012-10-30 |
| 1396016507 | Retha Rene Rudloff | General Practice | 1728 N.e. Misty Lane, Lee's Summit, MO 64086 | 2012-01-19 |
| 1629351200 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 691 Nw Blue Pkwy, Lees Summit, MO 64086 | 2011-09-21 |
| 1497054308 | Jennifer Nelson | Physical Therapist | 301 Ne Tudor, Lee's Summit, MO 64086 | 2011-03-17 |
| Find all providers in zip 64086 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467052381 | Kristin Nersesyan | Nurse Practitioner | 916 Sw Bennington Pl, Lees Summit, MO 64081-3700 | 2020-10-29 |
| 1659979169 | Samantha Rose Morris | Nurse Practitioner | 1980 Se Blue Pkwy Ste 2320, Lees Summit, MO 64063-1102 | 2020-10-16 |
| 1578173712 | Valerie De Jong | Nurse Practitioner | 1611 Se Boone Trl, Lees Summit, MO 64063-6023 | 2020-08-03 |
| 1255958369 | Amara Sluder | Nurse Practitioner | 1029 Ne Bluff Cir, Lees Summit, MO 64086-4955 | 2020-07-06 |
| 1457971905 | Rujira Renick | Nurse Practitioner | 100 Ne Missouri Rd Ste 202, Lees Summit, MO 64086-4716 | 2020-04-24 |
| 1417501255 | Nicole Hamilton | Nurse Practitioner | 303 Nw Central St, Lees Summit, MO 64063-1920 | 2019-07-30 |
| 1932683836 | Rene Russell | Nurse Practitioner | 2416 Sw Wintergreen Ct, Lees Summit, MO 64081 | 2018-09-18 |
| 1104327576 | Molly Moore Mcgraw Davidson | Nurse Practitioner | 2000 Se Blue Pkwy Ste 270a, Lees Summit, MO 64063 | 2018-02-21 |
| 1225537665 | Crystal Sheets | Nurse Practitioner | 1221 Se 12th St, Lees Summit, MO 64081-2905 | 2018-02-12 |
| 1295257277 | Sara Barnett | Nurse Practitioner | 100 Ne Saint Lukes Blvd Ste 500, Lees Summit, MO 64086-6000 | 2017-07-12 |
| Find all providers in LEES SUMMIT | ||||
| City | LEES SUMMIT |
| Zip Code | 64086 |
Please comment or provide details below to improve the information on JESSICA CROCKER.
| 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.