CORTNEY CROCKER (NPI# 1649636853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649636853 |
| Entity Type | Individual |
| Full Name | CORTNEY CROCKER |
| Other Name | CORTNEY SHUMWAY |
| Credential | CPNP-PC |
| Practice Address |
1302 Queen Emma St Honolulu HI 96813-2366 |
| Mailing Address |
677 Ala Moana Blvd Ste 1001 Honolulu HI 96813-5408 |
| Practice Telephone | 8082852220 |
| Mailing Telephone | 8084694900 |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2019-01-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
2529 | HI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
2015039036 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1302 QUEEN EMMA ST |
| City | HONOLULU |
| State | HI |
| Zip Code | 96813-2366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114582434 | Chunli Liu | Registered Nurse | 1302 Queen Emma St, Honolulu, HI 96813-2312 | 2019-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902322 | Kawehi Hanohano-navarro | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd. Suit, Honolulu, HI 96813 | 2020-11-03 |
| 1659971489 | University Clinical Education & Research Associates | Clinical Medical Laboratory | 651 Ilalo Street, Bioscience Bldg Rm 333, Honolulu, HI 96813 | 2020-10-30 |
| 1700490919 | Tiana Taylor Williams | Behavior Technician | 7 Waterfront Plaza, 500 Ala Moana Blvd, Suite 400, Honolulu, HI 96813 | 2020-09-04 |
| 1134761109 | Florence Kwitonda | Behavior Technician | 500 Ala Moana Blvd., Suite 400, Honolulu, HI 96813 | 2019-10-11 |
| 1629629373 | Alyssa Niel Gethings | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd. Suite, Honolulu, HI 96813 | 2019-09-24 |
| 1851949069 | Miho Camarata | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd, Suite 400, Honolulu, HI 96813 | 2019-08-30 |
| 1326696519 | Chanelle Ashley Ramos | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd., Suite 400, Honolulu, HI 96813 | 2019-08-30 |
| 1568022580 | Fataly Willy | Behavioral Analyst | 500 Alamoana Blvd #7-400, Honolulu, HI 96813 | 2019-06-20 |
| 1538624069 | Galaxy Urgent Care Inc | Internal Medicine | 50 South Beretania St, C210 B, Honolulu, HI 96813 | 2019-02-08 |
| 1376010124 | Queen's Development Corporation and Subsidiaries | Clinic/Center | 400 Keawe Street, Suite 100, Honolulu, HI 96813 | 2018-10-30 |
| Find all providers in zip 96813 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306382700 | Katherine Finn Davis | Nurse Practitioner | 2528 Mccarthy Mall, Webster Hall 410, Honolulu, HI 96822-2214 | 2017-01-10 |
| 1073919528 | Emma Elizabeth Holland | Nurse Practitioner | 204 Julian Ave, Honolulu, HI 96818-5109 | 2014-11-11 |
| 1851720502 | Mary Satterfield | Nurse Practitioner | 1803 Kamehameha Iv Rd, Honolulu, HI 96819-2627 | 2013-11-04 |
| 1750629556 | Benjamin L Kilinski | Nurse Practitioner | 1803 Kamehameha Iv Road, Honolulu, HI 96819 | 2013-01-29 |
| 1689862856 | Anne Kinuyo Jinbo | Nurse Practitioner | 420 Kuwili St, Honolulu, HI 96817-5050 | 2007-10-11 |
| 1003016049 | Lorena Marie Fujii | Nurse Practitioner | 3228 Moanalua Road, Honolulu, HI 96819 | 2007-07-18 |
| 1013943455 | Nicole Louise Hodgeboom | Nurse Practitioner | 1401 S Beretania St Ste 950, Honolulu, HI 96814-1874 | 2006-06-25 |
| 1962986679 | Tyler Noel Jansen | Nurse Practitioner | 1319 Punahou St, Honolulu, HI 96826-1001 | 2018-09-18 |
| 1548614043 | Scott Ninomiya | Nurse Practitioner | 1319 Punahou St, Honolulu, HI 96826-1001 | 2016-04-20 |
| 1659626323 | Allison K Kishida | Nurse Practitioner | 1319 Punahou St, Suite 600, Honolulu, HI 96826-1001 | 2012-07-19 |
| Find all providers in HONOLULU | ||||
Please comment or provide details below to improve the information on CORTNEY 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.