DR. KAYLEE B CROCKETT (NPI# 1740720853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740720853 |
| Entity Type | Individual |
| Full Name | DR. KAYLEE B CROCKETT |
| Other Name | KAYLEE E BURNHAM |
| Credential | PHD |
| Practice Address |
1201 11th Ave S Ste 410 Birmingham AL 35205-3423 |
| Practice Telephone | 2059349700 |
| Mailing Telephone | 7703127070 |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2020-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
2118 | AL | Behavioral Health & Social Service Providers |
| N | 103TH0100X |
Psychologist Specialization: Health Service |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 997 Saint Sebastian Way, Augusta, GA 309122613 | 7067123530 |
| Street Address |
1201 11TH AVE S STE 410 |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35205-3423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740646181 | Ksenia Nikolayevna Blinnikova | Family Medicine | 1201 11th Ave S Ste 410, Birmingham, AL 35205-3423 | 2016-01-14 |
| 1992328546 | Caroline Cohen | Dietitian, Registered | 1201 11th Ave S Ste 410, Birmingham, AL 35205-3423 | 2020-05-18 |
| 1003318619 | Andrea Dial | Nurse Practitioner | 1201 11th Ave S Ste 410, Birmingham, AL 35205-3423 | 2018-02-28 |
| 1588192520 | Mallory Diane Lewis | Family Medicine | 1201 11th Ave S Ste 410, Birmingham, AL 35205-3423 | 2017-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124547674 | Serve Home Health Care Agency, LLC | In Home Supportive Care | 2230 Green Springs Hwy S, Birmingham, AL 35205 | 2017-09-15 |
| 1457870487 | Marilyn Bennett Pinson | Pharmacist | Walgreens Store #15144, 3020 Clairmont Ave S, Birmingham, AL 35205 | 2017-09-11 |
| 1639522238 | Dana Rives | Speech-Language Pathologist | St. Vincent's, Building 3, Suite 402, Birmingham, AL 35205 | 2016-07-19 |
| 1760854236 | Raymond Herring | Chiropractor | 1226 29th St S, Apt 18, Birmingham, AL 35205 | 2015-10-23 |
| 1083005813 | Absolutely Amazing Salon | Prosthetic/Orthotic Supplier | 2227 Arlington Avenue, Birmingham, AL 35205 | 2015-02-16 |
| 1396141651 | Alexandria Hutchison | Occupational Therapist | 833 Saint Vincent's Drive, Building 3, Suite 200, Birmingham, AL 35205 | 2014-11-14 |
| 1790028199 | Patrick Ross Owens | Otolaryngology | 833 Saint Vincents Dr Ste 402, Birmingham, AL 35205 | 2013-04-03 |
| 1053657452 | David Mitchell Comfort | Urology | 2716 Hanover Circle, Unit 801, Birmingham, AL 35205 | 2012-12-13 |
| 1598023632 | Kathryn Ashley Bentley | Orthopaedic Surgery | 833 St. Vincent's Drive, Bldg 3, Ste 403, Birmingham, AL 35205 | 2012-04-26 |
| 1114298510 | Natalie Elizabeth George | Physician Assistant | 2100 16th Avenue South, 202, Birmingham, AL 35205 | 2012-01-18 |
| Find all providers in zip 35205 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952901225 | Northerner Psychological Services, Pllc | Psychologist | 1869 Melbourne St, Birmingham, MI 48009-1160 | 2020-10-27 |
| 1437789468 | Kathleen Margaret Whipple | Psychologist | 895 Puritan Ave, Birmingham, MI 48009-4636 | 2020-01-17 |
| 1750941365 | Kristen Marie Smith | Psychologist | 3125 Independence Dr Ste 114, Birmingham, AL 35209-4163 | 2019-06-17 |
| 1700389418 | Michele Valerie Varady | Psychologist | 700 N Old Woodward Ave Ste 300, Birmingham, MI 48009-1338 | 2018-03-09 |
| 1932578838 | Craig Counseling Services, P.l.l.c. | Psychologist | 630 N. Old Woodward Ave., Suite 303, Birmingham, MI 48009-3862 | 2015-09-21 |
| 1104200344 | Insight Therapy, LLC | Psychologist | 166 Office Park Dr., St. 245, Birmingham, AL 35223 | 2015-07-17 |
| 1659706216 | Antonio Psychology Services LLC | Psychologist | 3516 Vann Rd, Suite 104-b, Birmingham, AL 35235-3275 | 2013-09-13 |
| 1437498516 | Laura Lynn Lehmann | Psychologist | 500 Lewis Ct, Birmingham, MI 48009-6817 | 2013-02-08 |
| 1952669780 | Karen R Weiss | Psychologist | 1290 E Lincoln St, Birmingham, MI 48009-7191 | 2012-04-30 |
| 1336420009 | Lena Agree | Psychologist | 240 Martin St # 100, Birmingham, MI 48009-3352 | 2011-09-07 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35205 |
Please comment or provide details below to improve the information on DR. KAYLEE B 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.