JONATHAN WILLIAM CROCKER (NPI# 1598138539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598138539 |
| Entity Type | Individual |
| Full Name | JONATHAN WILLIAM CROCKER |
| Credential | MS ATC PED |
| Practice Address |
33 Clarence St Apt 2 Everett MA 02149-5141 |
| Practice Telephone | 6176376864 |
| Mailing Telephone | 6176376864 |
| Enumeration Date | 2015-11-12 |
| Last Update Date | 2015-11-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2228 | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902855323 | Jonathan Thomas Crocker | Internal Medicine | 800 Boylston St, 47th Floor, Boston, MA 02199-8001 | 2006-05-10 |
| Street Address |
33 CLARENCE ST APT 2 |
| City | EVERETT |
| State | MA |
| Zip Code | 02149-5141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336550 | Berthonya Joas | Physical Therapy Assistant | 62 Lawrence St, Everett, MA 02149 | 2020-11-03 |
| 1053940031 | Sarah Ann Bottiglio | Pharmacist | Whidden Hospital, 103 Garland Street, Everett, MA 02149 | 2020-04-02 |
| 1417494139 | Tsering Dolkar | Registered Nurse | Department of Surgery 103 Garland Street, Everett Hospital, Everett, MA 02149 | 2017-01-20 |
| 1073060190 | Egenie Desir | Registered Nurse | 102 Edith St, Everett, MA 02149 | 2016-09-07 |
| 1295113215 | Tracy Guan | Speech-Language Pathologist | 213 Springvale Ave, Everett, MA 02149 | 2015-05-11 |
| 1386075562 | Maritza Andrea Romano | Licensed Practical Nurse | 77 Clark Street, Everett, MA 02149 | 2013-12-12 |
| 1619221454 | Nicole Marie Shanahan | Social Worker | 23 Union Street, Apartment 2, Everett, MA 02149 | 2012-11-01 |
| 1760764997 | Ashish Agarwal | Pharmacist | 317 Ferry Street, Everett, MA 02149 | 2011-09-14 |
| 1851684856 | Jocelyn Ronda | Internal Medicine | Mgh Everett Family Care, 19 Norwood St, Everett, MA 02149 | 2011-05-24 |
| 1720292204 | Geraldine Chandra Martin | Optometrist | 2 Mystic View Road, Everett, MA 02149 | 2007-05-10 |
| Find all providers in zip 02149 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508425695 | Jamie Emerson | Specialist/Technologist | 7000 Hardeson Rd, Everett, WA 98203-5832 | 2019-06-11 |
| 1023571957 | Sherry Ann Hutto | Specialist/Technologist | 1600 121st St Se Apt K105, Everett, WA 98208-7908 | 2019-04-08 |
| 1639647399 | Dustin Paul Carnell | Specialist/Technologist | 427 E South St, Everett, PA 15537-1275 | 2018-11-10 |
| 1033642970 | Corinne Peltier | Specialist/Technologist | 13009 E Gibson Rd, Apt Q230, Everett, WA 98204-7348 | 2017-04-07 |
| 1912351529 | Alexandra Bryan | Specialist/Technologist | 10429 Rosewood Ave, Everett, WA 98204-3620 | 2016-04-20 |
| 1871955104 | Erin Hento | Specialist/Technologist | 6001 36th Ave W, Everett, WA 98203-1264 | 2016-03-25 |
| 1609234277 | Joshua Schueler | Specialist/Technologist | 2901 Rucker Ave, Apt 315, Everett, WA 98201-4252 | 2016-02-10 |
| 1659784452 | Victoria Barr | Specialist/Technologist | 12911 39th Ave Se, Everett, WA 98208-6159 | 2014-06-09 |
| 1821364134 | Kirsten Denise Harvey | Specialist/Technologist | 4926 Dover St, Everett, WA 98203-1673 | 2012-03-30 |
| 1528296126 | Kristin I Chase | Specialist/Technologist | 811 112th St Sw Apt H102, Everett, WA 98204-7849 | 2009-06-23 |
| Find all providers in EVERETT | ||||
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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.