Mary Elizabeth Crocker, RN, CDE

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

RN 477061 Issued in CA

Practice address

1868 Pacific Ave
Long Beach, CA 90806-6113

Phone

(562) 595-4718

NPI assigned

Dec 20, 2010

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1292803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292803200000",
    "number": "1437452091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1868 PACIFIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908066113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1868 PACIFIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908066113",
            "telephone_number": "562-595-4718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROCKER",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "RN, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-20",
        "last_updated": "2010-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "CA",
            "license": "RN 477061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karenina Ann Crispell
• Lizbeth Cristal
• Christopher Cristobal
• Phillip M Croak
• Thomas G. Crochet, MSW, LCSW
• Robert Alan Crocker II
• Kyra Nycole Crooms
• Erin Lynn Weller Crosbie, FNP-C
• Daniel Crosby, M.S.
• Nina Crosby

• Diabetes Educator Registered Nurse in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Diabetes Educator Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2010; 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.