Tanisha Crockett, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

LG-0001373 Issued in DE

Practice address

29787 John J Williams Hwy Unit 8
Millsboro, DE 19966-4097

Phone

(800) 818-8680

Fax

(866) 229-0237

NPI assigned

Mar 25, 2020

Last updated

Nov 20, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in DE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nutrihealth LLCGroup PAC ID 9537597919, 29 clinicians

Alpha Care Medical LLCGroup PAC ID 8527344548, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alpha Care Medical, LLC

  • Family Medicine Physician
  • Seaford, DE
  • NPI 1417409905
  Medicare reassignment Care Compare group NPD
• Nutrihealth LLC

  • Internal Medicine Physician
  • Georgetown, DE
  • NPI 1013547637
  Medicare reassignment Care Compare group
• Nutrihealth LLC

  • Internal Medicine Physician
  • Milford, DE
  • NPI 1487387544
  NPD
• Beebe Physician Network, Inc.

  dba Beebe Medical Group

  • Internal Medicine Physician
  • Lewes, DE
  • NPI 1730133992

  Nurse Practitioner

  NPD (past)

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

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1093342420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29787 JOHN J WILLIAMS HWY UNIT 8",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "199664097",
            "telephone_number": "800-818-8680",
            "fax_number": "866-229-0237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29787 JOHN J WILLIAMS HWY UNIT 8",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "199664097",
            "telephone_number": "800-818-8680",
            "fax_number": "866-229-0237"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "642 S Queen St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "DE",
            "postal_code": "199043506",
            "country_code": "US",
            "telephone_number": "800-818-8680",
            "fax_number": "866-229-0237",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1340 Middleford Rd Ste 401",
            "address_purpose": "LOCATION",
            "city": "Seaford",
            "state": "DE",
            "postal_code": "199733665",
            "country_code": "US",
            "telephone_number": "800-818-8680",
            "fax_number": "866-229-0237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROCKETT",
        "first_name": "TANISHA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-25",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0001373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marisa Conti, DO
• Christy Marie Cooke, LMT
• Coras Wellness and Behavioral Health, LLC
• Core Counseling Strategies
• Deborah Cornelison, CCDP
• CTM Medical Associates LLC
• CTS Surgical Associates LLC
• Jenna Dafgek, MD
• Georges A Dahr, MD
• Fadi E Damouni, MD

• Family Nurse Practitioner in Millsboro, DE
• Providers in Millsboro, DE by specialty
• Family Nurse Practitioner in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.