JUSTIN YATES CROCKETT
NPI 1003377151
Specialist in Brattleboro, VT

Q: What is Justin Crockett's NPI number?

The NPI number for Justin Crockett is 1003377151. It was assigned to this individual provider in the NPPES registry on March 29, 2019.

Q: What is Justin Crockett's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Justin Crockett was last updated on July 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 29, 2019

51 FAIRVIEWSTREET, BRATTLEBORO, VT 05301(802) 254-6028(802) 254-7501 Get Directions Write a Review

NPPES record last updated: July 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Justin Yates Crockett NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUSTIN YATES CROCKETT (NPI 1003377151) is an individual specialist in Brattleboro, Vermont and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1003377151

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameJUSTIN YATES CROCKETT

Location Address51 FAIRVIEWSTREETBrattleboro, VT 05301-2579

Mailing Address390 River StreetSpringfield, VT 05156-2226 · (802) 886-4500 · Fax (802) 886-4520

Phone(802) 254-6028

Fax(802) 254-7501

Sole ProprietorNo

Enumeration DateMarch 29, 2019

Last NPPES UpdateJuly 16, 2024

✔ NPI 1003377151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

51 FAIRVIEWSTREET, Brattleboro, VT 05301

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justin Crockett's NPI number?

The NPI number for Justin Crockett is 1003377151. It was assigned to this individual provider in the NPPES registry on March 29, 2019.

Where is Justin Crockett located?

Justin Crockett practices at 51 Fairviewstreet, Brattleboro, VT 05301. The listed phone number is (802) 254-6028.

What is Justin Crockett's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Justin Crockett was last updated on July 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.