Caroline Olha Crockett

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

6428 Cape Charles Dr
Raleigh, NC 27617-7641

Phone

(919) 247-4551

NPI assigned

Mar 2, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dogwood Pediatric Therapy, PLLC

  • Speech-Language Pathologist
  • Raleigh, NC
  • NPI 1265807606
  NPD (past)

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

{
    "created_epoch": "1488412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559088000000",
    "number": "1932649449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 MCCARTHY ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276082435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6428 CAPE CHARLES DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276177641",
            "telephone_number": "919-247-4551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8360 Six Forks Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276155087",
            "country_code": "US",
            "telephone_number": "919-247-4551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "68 Harvard St",
            "address_purpose": "LOCATION",
            "city": "Brookline",
            "state": "MA",
            "postal_code": "024457991",
            "country_code": "US",
            "telephone_number": "617-487-4869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROCKETT",
        "first_name": "CAROLINE",
        "middle_name": "OLHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-02",
        "last_updated": "2019-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Crites
• CRJ Services LLC
• Hannah Crockarell
• Justin Adams Crocker
• William Daniel Crocker, M.D.
• Cynthia A. Crockett, CCC SLP
• Felicia Deana Crockett, LPN
• Maray Crockett, LMFT
• Crocus Counseling and Life Coaching PLLC
• Charita Cromartie

• Speech-Language Pathologist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.