MS. KATHERINE SHERIDAN CROCKER NP NPI 1124158357

NPI Information

NPI: 1124158357
Provider Name: MS. KATHERINE SHERIDAN CROCKER, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
620 GALLATIN PIKE S
MADISON, TN
ZIP 37115
Phone: (615) 460-4300
Get Directions

MS. Katherine Sheridan Crocker, NP is a family nurse practitioner in Madison, TN. MS. Katherine Sheridan Crocker, NP NPI is 1124158357. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

620 GALLATIN PIKE S
MADISON, TN
ZIP 37115-013
Phone: (615) 460-4300

The enumeration date for this NPI number is 3/6/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	7324	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P38259	MEDICARE UPIN	TENNESSEE
2	3908923	MEDICARE ID-TYPE UNSPECIFIED	TENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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