Individual provider Active NPI

Linda Winston Crockett, ARNP

  • Family Nurse Practitioner
  • Tacoma, WA
National Provider Identifier
1386616837
Registry record updated May 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP30006591 Issued in WA
Practice address
7041 Pacific Ave
Tacoma, WA 98408-7220
Phone
(253) 474-2120
NPI assigned
Feb 7, 2006
Last updated
May 31, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2011

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP560A ID
Nurse Practitioner 363L00000X AP30006591 WA
Family Nurse Practitioner 363LF0000X AP30006591 WA Primary
Adult Health Nurse Practitioner 363LA2200X AP3006591 WA
Primary Care Nurse Practitioner 363LP2300X AP30006591 WA
Pediatric Nurse Practitioner 363LP0200X AP30006591 WA
School Nurse Practitioner 363LS0200X AP30006591 WA
Occupational Health Nurse Practitioner 363LX0106X AP30006591 WA

Addresses

Primary practice location

7041 Pacific Ave
Tacoma, WA 98408-7220

Mailing address

7041 Pacific Ave
Tacoma, WA 98408-7220
Phone (253) 474-2120

Other names 1

  • Linda Davison Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP3006591WAMDAdult Health Nurse Practitioner
NP560AIDMDFamily Nurse Practitioner
AP30006591WAMDSchool Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Clinic of Spokane PS Past Accepting new patients
Family Home Care Corporation Past Accepting new patients
William F. Ganz MD Facs PLLC Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306800000000",
    "number": "1386616837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7041 PACIFIC AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984087220",
            "telephone_number": "253-474-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7041 PACIFIC AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984087220",
            "telephone_number": "253-474-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROCKETT",
        "first_name": "LINDA",
        "middle_name": "WINSTON",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-07",
        "last_updated": "2011-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "NP560A",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP30006591",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30006591",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WA",
            "license": "AP3006591",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "WA",
            "license": "AP30006591",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "WA",
            "license": "AP30006591",
            "primary": false
        },
        {
            "code": "363LS0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, School",
            "state": "WA",
            "license": "AP30006591",
            "primary": false
        },
        {
            "code": "363LX0106X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": "WA",
            "license": "AP30006591",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "DAVISON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2011; 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.