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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: October 11, 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 2 months 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.