IVEY N CROKER (NPI# 1679037188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679037188 |
| Entity Type | Individual |
| Full Name | IVEY N CROKER |
| Practice Address |
2100 Charlie Hall Blvd Charleston SC 29414-5832 |
| Practice Telephone | 8438524100 |
| Mailing Telephone | 8438524100 |
| Enumeration Date | 2019-01-29 |
| Last Update Date | 2019-01-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 1760596480 | 05 |
| Street Address |
2100 CHARLIE HALL BLVD |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29414-5832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184617714 | Rebecca J Whitt | Counselor | 2100 Charlie Hall Blvd, Charleston, SC 29414-5832 | 2005-08-30 |
| 1104426469 | Sara T Hansen | Social Worker | 2100 Charlie Hall Blvd, Charleston, SC 29414-5832 | 2020-10-27 |
| 1770182776 | Nicholas Anthony Germano | Registered Nurse | 2100 Charlie Hall Blvd, Charleston, SC 29414-5832 | 2020-10-21 |
| 1548868458 | Teresa Blake | Registered Nurse | 2100 Charlie Hall Blvd, Charleston, SC 29414-5832 | 2020-10-13 |
| 1285232181 | Autumn Porter | Counselor | 2100 Charlie Hall Blvd, Charleston, SC 29414-5832 | 2020-10-13 |
| 1083221097 | Ashley M Parker | Counselor | 2100 Charlie Hall Blvd, Charleston, SC 29414-5832 | 2020-09-24 |
| 1457968463 | Marlayah Legare | Counselor | 2100 Charlie Hall Blvd, Charleston, SC 29414-5832 | 2020-09-24 |
| 1679180681 | Cecile A Piriz | Counselor | 2100 Charlie Hall Blvd, Charleston, SC 29414-5832 | 2020-09-24 |
| 1265047872 | Frederick Laugisch | Counselor | 2100 Charlie Hall Blvd, Charleston, SC 29414-5832 | 2020-09-10 |
| 1144831512 | Whitney M Fee | Counselor | 2100 Charlie Hall Blvd, Charleston, SC 29414-5832 | 2020-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902444508 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 3865 West Ashley Circle, Charleston, SC 29414 | 2019-12-13 |
| 1215440169 | Christine Michelle Delcioppo | Nurse Practitioner | 2085 Henry Tecklenburg Dr Fl 2or2, Charleston, SC 29414 | 2017-11-14 |
| 1871013508 | Carolyn Sorenson | Assistant Behavior Analyst | 2218 Hunter Creek Dr, Charleston, SC 29414 | 2017-06-23 |
| 1205387354 | Rachel Klatt | Physical Therapist | 2230 Ashley Crossing Dr., Charleston, SC 29414 | 2016-10-24 |
| 1295286912 | Mary M Butler | Physical Therapy Assistant | 2230 Ashley Crossing Drive, Charleston, SC 29414 | 2016-10-18 |
| 1295104982 | Charlene Barbot | Registered Nurse | 3741 Clover St, Charleston, SC 29414 | 2015-09-23 |
| 1720467525 | Sasha M. Perez | Family Medicine | 3030 Ashley Town Center Dr Ste 102a, Charleston, SC 29414 | 2015-05-26 |
| 1104226240 | Angela Mcinvale | Counselor | 3030 Ashley Town Center Dr., Bldg. B-203, Charleston, SC 29414 | 2014-08-26 |
| 1659790087 | Catherine Jefferson Vanderwerker | Physical Therapist | 3019 Saintsbury Cove Dr, Charleston, SC 29414 | 2014-04-14 |
| 1104266741 | Elizabeth A Burguieres | Psychiatry & Neurology | Scdmh- Charleston Telepsychiatry Office, 706 Orleans Rd, Charleston, SC 29414 | 2013-06-27 |
| Find all providers in zip 29414 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003415597 | Loretta Rogers | Peer Specialist | 102 Patrick Street Plz, Charleston, WV 25387-2444 | 2020-10-26 |
| 1447862768 | Robert Aaron Burton | Peer Specialist | 102 Patrick Street Plz, Charleston, WV 25387-2444 | 2020-08-18 |
| 1831711134 | Regina Veltri | Peer Specialist | 102 Patrick Street Plz, Charleston, WV 25387-2444 | 2020-05-11 |
| 1619599024 | Patrick Brown | Peer Specialist | 102 Patrick Street Plz, Charleston, WV 25387-2444 | 2020-05-08 |
| 1629699434 | Autumn Renee Mccraw | Peer Specialist | 102 Patrick Street Plz, Charleston, WV 25387-2444 | 2020-05-04 |
| 1841825221 | Brandy Nicole Swift | Peer Specialist | 102 Patrick Street Plz, Charleston, WV 25387-2444 | 2020-03-06 |
| 1538793484 | Toni Renee Pantoja | Peer Specialist | 102 Patrick Street Plz, Charleston, WV 25387-2444 | 2020-03-01 |
| 1407489792 | Robert Vickers | Peer Specialist | 102 Patrick Street Plz, Charleston, WV 25387-2444 | 2020-02-15 |
| 1275164246 | Trenton Deweese | Peer Specialist | 102 Patrick Street Plz, Charleston, WV 25387-2444 | 2020-01-29 |
| 1952932048 | Anthony Gonzales | Peer Specialist | 102 Patrick Street Plz, Charleston, WV 25387-2444 | 2020-01-28 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29414 |
Please comment or provide details below to improve the information on IVEY N CROKER.
| 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.