Jayme Crockett, CPM, LM

Primary specialty

MidwifeTaxonomy code 176B00000X

License

MID-144 Issued in ID

Practice address

4041 S Argonaut Ave
Boise, ID 83709-4708

Phone

(832) 217-9567

NPI assigned

Mar 9, 2023

Last updated

Mar 9, 2023By 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

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": "1678320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1104526813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4041 S ARGONAUT AVE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837094708",
            "telephone_number": "832-217-9567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4041 S ARGONAUT AVE",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837094708",
            "telephone_number": "832-217-9567"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17653 Madison Rd",
            "address_purpose": "LOCATION",
            "city": "Nampa",
            "state": "ID",
            "postal_code": "836878251",
            "country_code": "US",
            "telephone_number": "832-217-9567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROCKETT",
        "first_name": "JAYME",
        "credential": "CPM, LM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-09",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "ID",
            "license": "MID-144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Cripps, LMSW
• Matthew R Crispo
• John D Crites, MD
• Jessica Rose Crocker-Oswald, LCSW
• Erica Crockett, LPC, NCC
• Madeline Crockett
• Roberta Crockett, M.A., LMFT, LCPC
• Gina M Crockford, COTA
• Gordon G Croft, D.M.D.
• Croi Care Services, LLC.

• Midwife in Boise, ID
• Providers in Boise, ID by specialty
• Midwife in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; 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.