Organization Active NPI

Karen E Crockett

  • Speech-Language Pathologist
  • Tampa, FL
National Provider Identifier
1831186253
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA774 Issued in FL
Legal business name
KAREN E CROCKETT
Practice address
2914 Busch Lake Blvd
Tampa, FL 33614-1859
Phone
(813) 933-0455
Fax
(813) 933-0457
NPI assigned
Sep 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Karen E Crockett, PHD CCC-SLPNPI 1770570509
Title
Speech/Language Pathology - Owner
Phone
(813) 933-0455

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SA774 FL Primary

Addresses

Primary practice location

2914 Busch Lake Blvd
Tampa, FL 33614-1859

Mailing address

2914 Busch Lake Blvd
Tampa, FL 33614-1859
Phone (813) 933-0455

Other names 1

  • Crockett & Associates Communication Clinics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Crockett Assoc Comm Clinics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831186253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2914 BUSCH LAKE BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336141859",
            "telephone_number": "813-933-0455",
            "fax_number": "813-933-0457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2914 BUSCH LAKE BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336141859",
            "telephone_number": "813-933-0455",
            "fax_number": "813-933-0457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN E CROCKETT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CROCKETT",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SPEECH/LANGUAGE PATHOLOGY - OWNER",
        "authorized_official_telephone_number": "813-933-0455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crockett & Associates Communication Clinics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.