Koko Karina Crocker

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1519 Nye Rd Ste 200
Lyons, NY 14489-9112

Phone

(315) 946-5749

NPI assigned

Sep 18, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1861042129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 NYE RD STE 200",
            "city": "LYONS",
            "state": "NY",
            "postal_code": "144899112",
            "telephone_number": "315-946-5749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 NYE RD STE 200",
            "city": "LYONS",
            "state": "NY",
            "postal_code": "144899112",
            "telephone_number": "315-946-5749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROCKER",
        "first_name": "KOKO",
        "middle_name": "KARINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-18",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "other",
            "affiliation": "N",
            "address_1": "1519 Nye Rd Ste 200",
            "city": "Lyons",
            "state": "NY",
            "country_code": "US",
            "postal_code": "144899112",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "other",
            "affiliation": "N",
            "address_1": "1519 Nye Rd Ste 200",
            "city": "Lyons",
            "state": "NY",
            "country_code": "US",
            "postal_code": "144899112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• County of Wayne
• County of Wayne
• Cynthia Lynn Craine, COTA/L
• Jean Adrienne Crandon-Hoe, RN
• Jeanett Gartland Creighton, LMSW, CASAC
• Moiria Beth Cunningham, CRPA
• Anthony Joseph D'Amico, DDS
• Veronica Dapolito, RN
• Denise Delpapa, RN
• Rebecca Laura Delyser, RDH

• Case Manager/Care Coordinator in Lyons, NY
• Providers in Lyons, NY by specialty
• Case Manager/Care Coordinator in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; 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.