Michael Allan Crockett, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

119379 Issued in MA

Practice address

14 Prospect St.
Milford, MA 01757

Phone

(508) 422-2343

NPI assigned

Oct 3, 2006

Sex

Male

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)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

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

• Anesthesiology Assoc of Taunton Inc

  • Anesthesiology Physician
  • Taunton, MA
  • NPI 1780754002
  NPD (past)
• Milford Anesthesia Associates Inc

  • Anesthesiology Physician
  • Milford, MA
  • NPI 1871679118
  NPD (past)
• Beaufort County Memorial Hospital

  • Certified Registered Nurse Anesthetist
  • Beaufort, SC
  • NPI 1467423178

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Beaufort County Memorial Hospital

  • Emergency Medicine Physician
  • Beaufort, SC
  • NPI 1871335018
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235224825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 PHEASANT RUN",
            "city": "LAKEVILLE",
            "state": "MA",
            "postal_code": "02347",
            "telephone_number": "774-213-5448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 PROSPECT ST.",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "01757",
            "telephone_number": "508-422-2343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROCKETT",
        "first_name": "MICHAEL",
        "middle_name": "ALLAN",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MA",
            "license": "119379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Criterion Child Enrichment
• Criterion Child Enrichment, Inc.
• Criterion Valley Early Intervention
• Ellen M Crocker
• Tracy Crocker
• Stacey Lynn Croeber
• Mary Cronin
• Dina Paolillo Cross, R.PH.
• Meagan Cross
• Samantha Cross

• All providers in Milford, MA
• Certified Registered Nurse Anesthetist in Massachusetts

• 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.