Individual provider Active NPI

Alsce Gregory Crocker

  • Case Manager/Care Coordinator
  • Houston, TX
National Provider Identifier
1639753080
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
1818 Fannin Speedway Apt 3102
Houston, TX 77045-5059
Phone
(619) 750-7795
NPI assigned
May 11, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

1818 Fannin Speedway Apt 3102
Houston, TX 77045-5059

Mailing address

1818 Fannin Speedway Apt 3102
Houston, TX 77045-5059
Phone (619) 750-7795

Other practice location 1

7454 Hawrin Drive Suite 170
Houston, TX 77036
Phone (713) 429-5114

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": "1620691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1639753080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 FANNIN SPEEDWAY APT 3102",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770455059",
            "telephone_number": "619-750-7795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 FANNIN SPEEDWAY APT 3102",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770455059",
            "telephone_number": "619-750-7795"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7454 Hawrin Drive Suite 170",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "77036",
            "country_code": "US",
            "telephone_number": "713-429-5114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROCKER",
        "first_name": "ALSCE",
        "middle_name": "GREGORY",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-11",
        "last_updated": "2021-05-11",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; 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.