Shelia D Crockett, ATC/L

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0000000651 Issued in TN

Practice address

1350 King College Rd
Bristol, TN 37620-2632

Phone

(423) 652-4762

Fax

(423) 652-6041

NPI assigned

Aug 31, 2006

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063524759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 WENDOVER RD",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242012842",
            "telephone_number": "276-591-3799",
            "fax_number": "423-652-6041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 KING COLLEGE RD",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376202632",
            "telephone_number": "423-652-4762",
            "fax_number": "423-652-6041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROCKETT",
        "first_name": "SHELIA",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "ATC/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TN",
            "license": "0000000651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cathy P Creger, D.PH.
• Lindsey Creger
• Margaret L Cress, LMPT
• Jennifer Anne Crews, MA CLINICAL PSYCHOLO
• Christy R. Crick, MA, LMFT
• Kimberly Crosby, FNP
• Leonard Brian Cross, PHARM.D.
• Freida A Crutchfield, LCSW
• Cu Sleep Center LLC
• John S Culp, MD

• Athletic Trainer in Bristol, TN
• Providers in Bristol, TN by specialty
• Athletic Trainer in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.