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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MONTAJA MCMULLEN-CROCKETT
NPI 1386567287
Student in an Organized Health Care Education/Training Program in Rock Hill, SC

Active since July 30, 2026
764 VALE CT, ROCK HILL, SC 29730(803) 579-5911 Get Directions Write a Review

NPPES record added: July 30, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Montaja Mcmullen-crockett NPPES

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

MONTAJA MCMULLEN-CROCKETT (NPI 1386567287) is an individual student in an organized health care education/training program in Rock Hill, South Carolina and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1386567287
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMONTAJA MCMULLEN-CROCKETT
Location Address764 VALE CTRock Hill, SC 29730-7815
Mailing Address764 Vale CtRock Hill, SC 29730-7815
Phone(803) 579-5911
Sole ProprietorNo
Enumeration DateJuly 30, 2026
NPPES CertifiedJuly 30, 2026
✔ NPI 1386567287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedPhysician AssistantTaxonomy 363A00000X
764 VALE CT, Rock Hill, SC 29730
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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 Montaja Mcmullen-crockett's NPI number?

The NPI number for Montaja Mcmullen-crockett is 1386567287. It was assigned to this individual provider in the NPPES registry on July 30, 2026.

Where is Montaja Mcmullen-crockett located?

Montaja Mcmullen-crockett practices at 764 Vale Ct, Rock Hill, SC 29730. The listed phone number is (803) 579-5911.

What is Montaja Mcmullen-crockett's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Montaja Mcmullen-crockett was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.