Active NPI
Lisa Arlene Crocker
- Peer Specialist
- Claremont, NH
National Provider Identifier
1447730494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 52 W Pleasant St
Claremont, NH 03743-3055 - Phone
- (603) 542-2578
- NPI assigned
- Aug 20, 2018
- Sex
- Female
- Sole proprietor
- No
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)
- Not enrolled
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
52 W Pleasant St
Claremont, NH 03743-3055
Mailing address
9 Hanover St
Lebanon, NH 03766-1312
Phone (802) 376-6596
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3077550 | Medicaid | NH |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 20, 2018.
{
"created_epoch": "1534723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534723200000",
"number": "1447730494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 HANOVER ST",
"city": "LEBANON",
"state": "NH",
"postal_code": "037661312",
"telephone_number": "802-376-6596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52 W PLEASANT ST",
"city": "CLAREMONT",
"state": "NH",
"postal_code": "037433055",
"telephone_number": "603-542-2578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROCKER",
"first_name": "LISA",
"middle_name": "ARLENE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-20",
"last_updated": "2018-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3077550",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Claremont, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.