Carol L. Crocker, FNP PC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

200450098NP Issued in OR

Legal business name

CAROL L. CROCKER, FNP PC

Practice address

1460 G St
Springfield, OR 97477-4112

Phone

(541) 726-4400

NPI assigned

Oct 7, 2008

Organization subpart

No

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

Authorized official

Name

Carol L. Crocker, MD

Title

President

Phone

(541) 726-4400

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234310400000",
    "number": "1780835892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11840",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926851840",
            "telephone_number": "562-468-0227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 G ST",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974774112",
            "telephone_number": "541-726-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROL L. CROCKER, FNP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-07",
        "last_updated": "2009-02-11",
        "status": "A",
        "authorized_official_last_name": "CROCKER",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-726-4400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "200450098NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caring Hand to Mouth
• Jennifer Carlin
• Teia Rae-Jean Carlisle
• Misty Lynn Carlson, M.D.
• Shannon Carlson
• Carol L. Crocker, FNP PC
• Robert M Carolan, M.D.
• Robert Carricaburu, MD
• Juanita Ann Carriveau
• Amy Renee Carroll, B.A.

• Nurse Practitioner in Springfield, OR
• Providers in Springfield, OR by specialty
• Nurse Practitioner in Oregon

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

Verify at the official NPI Registry.