Active NPI
Virginia Croke, NP
- Adult Health Nurse Practitioner
- Concord, MA
National Provider Identifier
1851360580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 175037
- Practice address
- 131 Ornac
John Cumming BLDG #200
Concord, MA 01742 - Phone
- (978) 287-3436
- NPI assigned
- Mar 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 175037 | MA | Primary |
Addresses
Primary practice location
131 Ornac
John Cumming BLDG #200
Concord, MA 01742
Mailing address
10 Willard St
Quincy, MA 02169-1281
Phone (617) 479-1437
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M15769 | Other | MA | BCBS |
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)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 175037 | MA | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269993600000",
"number": "1851360580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 WILLARD ST",
"city": "QUINCY",
"state": "MA",
"postal_code": "021691281",
"telephone_number": "617-479-1437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 ORNAC",
"address_2": "JOHN CUMMING BLDG #200",
"city": "CONCORD",
"state": "MA",
"postal_code": "01742",
"telephone_number": "978-287-3436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROKE",
"first_name": "VIRGINIA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-15",
"last_updated": "2010-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MA",
"license": "175037",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "M15769",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Concord, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.