Jacqueline Ann Crocetti, C.R.N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

VP003876B Issued in PA

Practice address

721 New Rodgers Road
Bristol, PA 19007

Phone

(215) 785-4594

NPI assigned

Dec 19, 2006

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)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457414484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "569 COON HOLLOW RD",
            "city": "RIEGELSVILLE",
            "state": "PA",
            "postal_code": "180779773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 NEW RODGERS ROAD",
            "city": "BRISTOL",
            "state": "PA",
            "postal_code": "19007",
            "telephone_number": "215-785-4594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROCETTI",
        "first_name": "JACQUELINE",
        "middle_name": "ANN",
        "credential": "C.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "VP003876B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trinell Copenheaver
• Hailey Caitlyn Coughlin
• Rebecca Coupe
• Dustin Michael Cowan, FNP-C
• Mark Crinage
• Brendon Kyle Cummings, DPT
• David Byron Cunningham, R.PH.
• Eric Czerwinski, MSPT
• Jessica Marie Czerwinski, MS, OTR, CHT
• Sathi Das, PT

• Family Nurse Practitioner in Bristol, PA
• Providers in Bristol, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• 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.