KAMILLE BOSTON CROCKETT (NPI# 1336799956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336799956 |
| Entity Type | Individual |
| Full Name | KAMILLE BOSTON CROCKETT |
| Credential | FNP |
| Practice Address |
757 W Telegraph St Ste 125 Washington UT 84780-1533 |
| Mailing Address |
1731 W Bridge Pointe Way St George UT 84770-5040 |
| Practice Telephone | 7029940598 |
| Mailing Telephone | 7029940598 |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2019-09-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WW0101X |
Registered Nurse Specialization: Women's Health Care, Ambulatory |
8059814-3102 | UT | Nursing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4245 S Grand Canyon Dr Ste 100, Las Vegas, NV 891477164 | 7029940598 |
| Street Address |
757 W TELEGRAPH ST STE 125 |
| City | WASHINGTON |
| State | UT |
| Zip Code | 84780-1533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245839547 | Premere Rehab LLC | Occupational Therapist | 1525 E Ovation Pl, Washington, UT 84780 | 2020-10-19 |
| 1649885781 | Signature Hospice St.george, LLC | Hospice Care, Community Based | 1525 East Ovation Place, Ste 2010, Washington, UT 84780 | 2020-09-15 |
| 1457549958 | Nancy J Jenkins | Counselor | 3833 South Mitchell Dr, Washington, UT 84780 | 2007-10-09 |
| 1629274840 | Adam Paul Murie | Chiropractor | 2250 Coral Canyon Blvd. Ste. 202, Washington, UT 84780 | 2007-06-25 |
| 1083788350 | Robert Lawrence Gibson | Dentist | 2303 N Coral Canyon Blvd #202, Washington, UT 84780 | 2006-11-20 |
| 1407802879 | Albertsons LLC | Durable Medical Equipment & Medical Supplies | 915 W Red Cliffs Dr, Washington, UT 84780 | 2006-05-26 |
| 1578178547 | Signature Home Health St.george, LLC | In Home Supportive Care | 1525 East Ovation Place, Ste 2010, Washington, UT 84780 | 2020-09-15 |
| 1033373816 | Stacy Leigh Niemann | Speech-Language Pathologist | 1032 E 100 S, St George, UT 84780 | 2008-07-11 |
| 1689188799 | Misti Michelle Miller | Massage Therapist | 568 W Telegraph St, Washington, UT 84780-1205 | 2017-11-28 |
| 1275045080 | Elite Healthcare Southern Utah LLC | Chiropractor | 568 W Telegraph St Ste 4, Washington, UT 84780-1206 | 2017-11-02 |
| Find all providers in zip 84780 | ||||
| Taxonomy Code | 163WW0101X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Women's Health Care, Ambulatory |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154649341 | Sharon Frisch | Registered Nurse | 1145 19th St Nw, Suite 410, Washington, DC 20036-3701 | 2010-05-12 |
| 1649491531 | Felicia Marboah | Registered Nurse | 508 Kennedy St Nw, Washington, DC 20011-3010 | 2007-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427609403 | Natalie R Morris | Registered Nurse | 5121 S Cottonwood St Ste 170, Murray, UT 84107-5701 | 2019-09-22 |
| 1699186130 | Ann-therese Guillory | Registered Nurse | 7329 Balmer St Bldg 546, Hill Afb, UT 84056-5012 | 2014-05-19 |
| 1962497768 | Mitzi Marie Siebert | Registered Nurse | 1906 W 3600 S, West Valley City, UT 84119-4715 | 2005-09-18 |
| City | WASHINGTON |
| Zip Code | 84780 |
Please comment or provide details below to improve the information on KAMILLE BOSTON CROCKETT.
| 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.