Active NPI
Melaina Crocker
- Other Technician
- Cleburne, TX
National Provider Identifier
1457581464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- 42525
- Practice address
- 1203 Loma Alta PL
Cleburne, TX 76033-6018 - Phone
- (817) 933-5001
- NPI assigned
- Jul 24, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | 42525 | Primary |
Addresses
Primary practice location
1203 Loma Alta PL
Cleburne, TX 76033-6018
Mailing address
1203 Loma Alta Place
Cleburne, TX 76033
Phone (817) 933-5001
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248393600000",
"number": "1457581464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1203 LOMA ALTA PLACE",
"city": "CLEBURNE",
"state": "TX",
"postal_code": "76033",
"telephone_number": "817-933-5001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1203 LOMA ALTA PL",
"city": "CLEBURNE",
"state": "TX",
"postal_code": "760336018",
"telephone_number": "817-933-5001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROCKER",
"first_name": "MELAINA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-24",
"last_updated": "2009-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": "42525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleburne, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.