BRIDGET R CROCKETT (NPI# 1952566440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952566440 |
| Entity Type | Individual |
| Full Name | BRIDGET R CROCKETT |
| Credential | ANP |
| Practice Address |
112 Brantly Road Searcy AR 72143-6113 |
| Mailing Address |
112 Brantley Rd Searcy AR 72143-8315 |
| Practice Telephone | 5012686102 |
| Practice Fax Number | 5012684445 |
| Mailing Telephone | 5012686102 |
| Mailing Fax Number | 5012684445 |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2016-03-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | ATP-000160 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
A03144 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 176018758 | 05 |
| Street Address |
112 BRANTLY ROAD |
| City | SEARCY |
| State | AR |
| Zip Code | 72143-6113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679188874 | Jessalyn Elise Tackett | Pharmacist | 200 E. Race Ave, Searcy, AR 72143 | 2020-09-14 |
| 1528697620 | Edward Lee | Student in an Organized Health Care Education/Training Program | 3214 E Race St, Searcy, AR 72143 | 2020-04-02 |
| 1700420338 | Rebecca Joanne Yauilla | Family Medicine | 3214 Race Avenue, Searcy, AR 72143 | 2019-11-06 |
| 1558913517 | The Forge Counseling Group LLC | Counselor | 505 S Elm St Suite C, Searcy, AR 72143 | 2019-07-10 |
| 1023584620 | Lisa Farley | Speech-Language Pathologist | 2918 Hawkins Drive, Searcy, AR 72143 | 2018-10-22 |
| 1144761719 | Christie Brooks | Dietitian, Registered | 91 Lakeway Drive, Searcy, AR 72143 | 2017-03-16 |
| 1639626112 | Kelly Walls | Pharmacist | 805 E Park Ave, Searcy, AR 72143 | 2016-09-01 |
| 1417316480 | Zach Wickes | Student in an Organized Health Care Education/Training Program | 506 N Van, Searcy, AR 72143 | 2016-02-18 |
| 1982081592 | Bethel Burris Oliver Pllc | Dentist | 3245 E. Race St, Searcy, AR 72143 | 2015-05-04 |
| 1053798116 | Ronnie Harlow | Rehabilitation Practitioner | 1005 East Park, Jim Citty Football and Athletic Training Facility, Searcy, AR 72143 | 2015-04-28 |
| Find all providers in zip 72143 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437769007 | Ferrin Michalek | Nurse Practitioner | 3225 Saddlebrook Dr, Searcy, AR 72143-9566 | 2020-08-07 |
| 1750808069 | Heather A. Martin | Nurse Practitioner | 904 E Race Ave, Searcy, AR 72143-4653 | 2017-08-28 |
| 1376083931 | Shannon Lynne Putman | Nurse Practitioner | 2112 Caleb Dr, Searcy, AR 72143-3076 | 2017-03-02 |
| 1750735619 | Anthony Gatens | Nurse Practitioner | 117 Whiteman Ln, Searcy, AR 72143-8310 | 2016-04-18 |
| 1609949486 | Glenn Holt Curtis | Nurse Practitioner | 1621 E Beebe Capps Expy, Searcy, AR 72143 | 2006-11-17 |
| 1649250531 | Elissa L Miller | Nurse Practitioner | 610 Shepherd Dr, Searcy, AR 72143-7433 | 2006-01-18 |
| 1588668461 | Linda Carol Mcintosh | Nurse Practitioner | 406 Rodgers Dr, Searcy, AR 72143-7433 | 2005-06-09 |
| 1396748380 | Lori Lea Ellis | Nurse Practitioner | 606 W Arch Ave, Ste A, Searcy, AR 72143-5206 | 2005-05-23 |
| 1548872302 | Traci Lynne Spurlock | Nurse Practitioner | 2900 Hawkins Dr, Searcy, AR 72143-4802 | 2020-08-21 |
| 1790327526 | Lindsey Walker | Nurse Practitioner | 406 Rodgers Dr, Searcy, AR 72143-7433 | 2019-10-14 |
| Find all providers in SEARCY | ||||
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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.