Laurie Dee Crookston, RN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

201679-4408 Issued in UT

Practice address

1225 Fort Union Blvd
Suite 215
Cottonwood Heights, UT 84047-1889

Phone

(801) 233-4200

NPI assigned

Aug 10, 2007

Last updated

Jun 17, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Laurie Dee Crookston Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ihc Health Services Inc

  dba Alta View Center for Counseling

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Midvale, UT
  • NPI 1891810867
  NPD (past)

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402963200000",
    "number": "1699967919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 E MUTTON HOLLOW RD",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840371229",
            "telephone_number": "801-546-0733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 FORT UNION BLVD",
            "address_2": "SUITE 215",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "840471889",
            "telephone_number": "801-233-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROOKSTON",
        "first_name": "LAURIE",
        "middle_name": "DEE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-10",
        "last_updated": "2014-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "UT",
            "license": "201679-4408",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "UT",
            "license": "201679-3102",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURIE",
            "last_name": "CROOKSTON",
            "middle_name": "DEE",
            "credential": "APRN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cozy Healthcare Inc (Cozy Hospice)
• Cozy Healthcare Inc (Cozy Home Health Care)
• Jade Crager
• Cody Crane, DPT
• Ashleigh Creps, LCSW
• Priscilla Cueva
• Cumberland Residential Care, LLC
• Hannah Curnutt
• Maile Cutter
• Emma Dacosta

• Psychiatric/Mental Health Nurse Practitioner in Cottonwood Heights, UT
• Providers in Cottonwood Heights, UT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; 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.