CALLIE CROCKETT
NPI 1063806677
Nurse Practitioner - Psychiatric/Mental Health in Mountain Home, TN

Active since March 20, 2015
LAMONT STREET AND VETERANS WAY, MOUNTAIN HOME, TN 37684(423) 926-1171 Get Directions Write a Review

NPPES record last updated: August 21, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Callie Crockett NPPES

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

CALLIE CROCKETT (NPI 1063806677) is an individual psychiatric/mental health provider in Mountain Home, Tennessee, licensed in Tennessee (19776) and active in the NPI registry since March 2015.

NPPES Registry Identity

NPI1063806677
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCALLIE CROCKETT
Location AddressLAMONT STREET AND VETERANS WAYMountain Home, TN 37684-2523
Mailing AddressLamont Street And Veterans WayMountain Home, TN 37684 · (423) 926-1171
Sole ProprietorNo
Enumeration DateMarch 20, 2015
Last NPPES UpdateAugust 21, 2023
NPPES CertifiedAugust 18, 2023
NPI 1063806677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in TN · 19776
LAMONT STREET AND VETERANS WAY, Mountain Home, TN 37684

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
LAMONT STREET AND VETERANS WAY, BUILDING 3
MOUNTAIN HOME, TN 37684

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 Callie Crockett's NPI number?

The NPI number for Callie Crockett is 1063806677. It was assigned to this individual provider in the NPPES registry on March 20, 2015.

Where is Callie Crockett located?

Callie Crockett practices at Lamont Street And Veterans Way, Mountain Home, TN 37684. The listed phone number is (423) 926-1171.

What is Callie Crockett's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Callie Crockett was last updated on August 21, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.