Courtney Leigh Crooker, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

301598 Issued in NY

Practice address

9053 State Route 53
Bath, NY 14810-8008

Phone

(607) 622-6000

NPI assigned

Aug 24, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503532800000",
    "number": "1043737703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 MORELAND DR",
            "city": "BEAVER DAMS",
            "state": "NY",
            "postal_code": "148129101",
            "telephone_number": "607-684-1478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9053 STATE ROUTE 53",
            "city": "BATH",
            "state": "NY",
            "postal_code": "148108008",
            "telephone_number": "607-622-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROOKER",
        "first_name": "COURTNEY",
        "middle_name": "LEIGH",
        "name_prefix": "Miss",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-24",
        "last_updated": "2017-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "301598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• County of Steuben
• Stephanie Elizabeth Craig, LCSW-R
• Curtis J Cranmer, M.D.
• Melissa Crawford, LMT
• Matthew Alan Cronauer, PHARM.D.
• Ronda Cushman
• Richard Alexander Czajkowski, DC
• Samuel James D'Agostino, PHARMD
• Ashlie Nikole Dailey, LMSW
• Lisa Daitz, PHARMD

• Licensed Practical Nurse in Bath, NY
• Providers in Bath, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.