Individual provider Active NPI

Laurie Danielle Crockett, APRN

  • Family Nurse Practitioner
  • Artesia, NM
National Provider Identifier
1700417136
Registry record updated Sep 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
59186 Issued in NM
Practice address
702 N 13TH St
Artesia, NM 88210-1166
Phone
(575) 746-3119
Fax
(575) 746-4295
NPI assigned
Feb 4, 2020
Last updated
Sep 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 59186 NM Primary

Addresses

Primary practice location

702 N 13TH St
Artesia, NM 88210-1166

Mailing address

702 N 13TH St
Artesia, NM 88210-1199
Phone (575) 746-3119

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address laurie.pittman@21739.direct.athenahealth.com
Direct Messaging Address mfp@artesiageneral.hin.us Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200330003654 NM Practitioner - Nurse Practitioner 3678902491 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Artesia General HospitalGroup PAC ID 9537070586, 44 clinicians

Practice addresses (Care Compare)

105 E Hagerman
Artesia Healthcare Professionals
Carlsbad, NM 88220-0000
Phone (575) 885-2180

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Artesia General Hospital CurrentSince Sep 1, 2021 Accepting new patients
Artesia General Hospital Family Current Accepting new patients
Artesia General Hospital CurrentSince Sep 1, 2021 Accepting new patients
Southwestern Regional Medical Center Family Past Accepting new patients

Locations

612 N 13th St
Ste D
Artesia, NM 88210
Phone (575) 736-8270

612 N 13th St
Ste G
Artesia, NM 88210
Phone (505) 736-8262

702 N 13th St
Artesia, NM 88210
Phone (505) 748-3333

2411 Osborne Rd
Carlsbad, NM 88220
Phone (505) 885-2188

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/artesia-6a02e1ef
  • Direct secure messaging: laurie.pittman@21739.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1580774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632441600000",
    "number": "1700417136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 N 13TH ST",
            "city": "ARTESIA",
            "state": "NM",
            "postal_code": "882101199",
            "telephone_number": "575-746-3119",
            "fax_number": "575-746-4295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 N 13TH ST",
            "city": "ARTESIA",
            "state": "NM",
            "postal_code": "882101166",
            "telephone_number": "575-746-3119",
            "fax_number": "575-746-4295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROCKETT",
        "first_name": "LAURIE",
        "middle_name": "DANIELLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-04",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "59186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "laurie.pittman@21739.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "amr direct address",
            "address_1": "2420 W Pierce St Ste 200",
            "city": "Carlsbad",
            "state": "NM",
            "country_code": "US",
            "postal_code": "882203518",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mfp@artesiageneral.hin.us",
            "affiliation": "N",
            "endpointDescription": "EHR Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "702 N 13th St",
            "city": "Artesia",
            "state": "NM",
            "country_code": "US",
            "postal_code": "882101166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Artesia, NM

Sources for this page

Verify at the official NPI Registry.