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ELIZABETH A CROCKETT
NPI 1417623786
Peer Specialist in Afton, OK

Active since August 18, 2021
138 S. MAIN STREET, AFTON, OK 74331(918) 257-4244(918) 257-4247 Get Directions Write a Review

NPPES record last updated: May 27, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 27, 2022, Apr 8, 2022, Aug 18, 2021 (3 updates tracked since 2021).

About Elizabeth A Crockett NPPES

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

ELIZABETH A CROCKETT (NPI 1417623786) is an individual peer specialist in Afton, Oklahoma and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1417623786
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameELIZABETH A CROCKETT
Location Address138 S. MAIN STREETAfton, OK 74331-1822
Mailing Address138 S. Main StreetAfton, OK 74331-1822 · (918) 257-4244 · Fax (918) 257-4247
Phone(918) 257-4244
Fax(918) 257-4247
Sole ProprietorNo
Enumeration DateAugust 18, 2021
Last NPPES UpdateMay 27, 20223 updates tracked since enumeration
NPPES CertifiedMay 12, 2022
✔ NPI 1417623786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
138 S. MAIN STREET, Afton, OK 74331
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Other Providers at the Same Location NPPES 2

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

MELINDA K BAILEY APRN-CNP
Nurse Practitioner (Family)
138 S. MAIN STREET
AFTON, OK 74331
Ottawa County (918) 257-8029
COMMUNITY HEALTH CENTER OF NORTHEAST OKLAHOMA, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
138 S. MAIN STREET
AFTON, OK 74331
Ottawa County (918) 257-8029

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 Elizabeth Crockett's NPI number?

The NPI number for Elizabeth Crockett is 1417623786. It was assigned to this individual provider in the NPPES registry on August 18, 2021.

Where is Elizabeth Crockett located?

Elizabeth Crockett practices at 138 S. Main Street, Afton, OK 74331. The listed phone number is (918) 257-4244.

What is Elizabeth Crockett's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Elizabeth Crockett was last updated on May 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.