MELISSA M CROCKER (NPI# 1538668140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538668140 |
| Entity Type | Individual |
| Full Name | MELISSA M CROCKER |
| Other Name | MELISSA CLEMENT |
| Credential | PA-C |
| Practice Address |
201 Park St Bowling Green KY 42101-1708 |
| Practice Telephone | 2707833343 |
| Practice Fax Number | 2707800476 |
| Mailing Telephone | 2707833343 |
| Mailing Fax Number | 2707800476 |
| Enumeration Date | 2018-02-09 |
| Last Update Date | 2020-10-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | TC980 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363A00000X | Physician Assistant | 088778 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 200 Hawkins Dr, Iowa City, IA 522421009 | 3193562421 | 3193563900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578861779 | Melissa Dawn Crocker | Nurse Practitioner | 701 Matlock Rd, Mansfield, TX 76063-9164 | 2011-03-11 |
| 1497912141 | Melissa K Crocker | Pediatrics | 333 Longwood Ave, Children's Hospital Boston, Division of Endocrinology, Boston, MA 02115-5711 | 2008-05-20 |
| Street Address |
201 PARK ST |
| City | BOWLING GREEN |
| State | KY |
| Zip Code | 42101-1708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902800998 | David Anthony Bergamini | Urology | 201 Park St, Bowling Green, KY 42101-1759 | 2005-06-08 |
| 1578163770 | Southeast Anesthesia, Plc | Nurse Anesthetist, Certified Registered | 201 Park St, Bowling Green, KY 42101-1742 | 2020-10-27 |
| 1760096200 | Ryan Michael Beard | Physical Therapist | 201 Park St, Bowling Green, KY 42101-1708 | 2020-09-02 |
| 1881204162 | Kristian Patricia Lee | Nurse Practitioner | 201 Park St, Bowling Green, KY 42101-1708 | 2020-08-03 |
| 1184232548 | Amy Pendleton Brown | Nurse Practitioner | 201 Park St, Bowling Green, KY 42101-1708 | 2020-07-21 |
| 1346867223 | Caitlyn Elizabeth Riggs | Nurse Practitioner | 201 Park St, Bowling Green, KY 42101-1708 | 2020-06-26 |
| 1598304040 | Rachel Paige Houchen | Registered Nurse | 201 Park St, Bowling Green, KY 42101-1708 | 2020-01-02 |
| 1245875996 | Christie Finney | Nurse Practitioner | 201 Park St, Bowling Green, KY 42101-1708 | 2019-11-16 |
| 1164077988 | Jeremy Darnell | Physical Therapy Assistant | 201 Park St, Bowling Green, KY 42101-1742 | 2019-08-08 |
| 1790246130 | Jamie Powers | Registered Nurse | 201 Park St, Bowling Green, KY 42101-1708 | 2019-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608827 | Heidi Denise Estes | Nurse Practitioner | 651 U.S. 31 W Bypass Ste 106, Bowling Green, KY 42101 | 2020-10-29 |
| 1205476561 | Emily Nell Conner | Pharmacist | 350 West Us 31 Bypass, Bowling Green, KY 42101 | 2020-01-14 |
| 1598304180 | Elizabeth Page Appling | Nurse Practitioner | 1681 Normal Dr., Bowling Green, KY 42101 | 2019-12-30 |
| 1598306227 | Heather Wells | Nurse Practitioner | 427 U.S. 31w Bypass, Bowling Green, KY 42101 | 2019-10-03 |
| 1275182255 | The Kidz Club-pdn, LLC | Nursing Care | 1537 Highway 185, Suite 3, Bowling Green, KY 42101 | 2019-09-11 |
| 1841756525 | Balance Therapeutic Care, Counseling Services LLC | Counselor | 661 A, 31-w Bypass, Bowling Green, KY 42101 | 2019-02-18 |
| 1184104895 | Paige Spear | Specialist | 661 Us 31w Byp Ste C, Bowling Green, KY 42101 | 2018-08-21 |
| 1205364411 | Amanda Katherin Walden | Dentist | 725 A Kenton Street, Bowling Green, KY 42101 | 2017-06-01 |
| 1932632098 | Tj & L Consulting, LLC | In Home Supportive Care | 661 Us 31w By-pass, Suite G, Bowling Green, KY 42101 | 2017-04-06 |
| 1265974117 | Kentucky Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1473 Kentucky Street, Bowling Green, KY 42101 | 2016-11-09 |
| Find all providers in zip 42101 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801417100 | Samantha Tollerud | Physician Assistant | 8320 Middleton Pike, Bowling Green, OH 43402-9639 | 2020-04-28 |
| 1881247922 | Hayley Richardson Sechler | Physician Assistant | 1818 Wallace Ct Ste 301, Bowling Green, KY 42103-2462 | 2019-07-18 |
| 1568493823 | Amy E Etsell | Physician Assistant | 905 Highway 161, Bowling Green, MO 63334-2431 | 2006-07-05 |
| 1730186057 | Belinda A Heywood | Physician Assistant | 838 E Wooster St, Bowling Green, OH 43402-3186 | 2005-07-01 |
| 1295364982 | Sara Vodde | Physician Assistant | 1420 S Business 61 Ste Def, Bowling Green, MO 63334-5230 | 2020-04-03 |
| 1902370232 | Wil Casper Norviel | Physician Assistant | 8 Town Center Dr, Bowling Green, MO 63334-2803 | 2019-01-21 |
| 1982177457 | Rachael Katherine Grant | Physician Assistant | 1801 Ashley Cir, Bowling Green, KY 42104-3362 | 2019-01-08 |
| 1942781000 | Nayab I. Hussain | Physician Assistant | 484 Golden Autumn Way Ste 201, Bowling Green, KY 42103-6913 | 2018-08-27 |
| 1003311036 | Leslie Pemberton | Physician Assistant | 1065 Ashley St Ste 200, Bowling Green, KY 42103-3401 | 2018-03-30 |
| 1336649680 | Rachel Marklin | Physician Assistant | 484 Golden Autumn Way Ste 201, Bowling Green, KY 42103-6913 | 2018-02-13 |
| Find all providers in BOWLING GREEN | ||||
| City | BOWLING GREEN |
| Zip Code | 42101 |
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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.