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

AMY CROCKETT
NPI 1548176514
Military Health Care Provider - Independent Duty Corpsman in San Diego, CA

Q: What is Amy Crockett's NPI number?

The NPI number for Amy Crockett is 1548176514. It was assigned to this individual provider in the NPPES registry on August 20, 2026.

Q: What is Amy Crockett's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

Q: When was this NPI record last updated?

The NPPES record for Amy Crockett was last updated on August 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since August 20, 2026

2496 BAUER RD, SAN DIEGO, CA 92126(619) 881-9011 Get Directions Write a Review

NPPES record added: August 20, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Amy Crockett NPPES

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

AMY CROCKETT (NPI 1548176514) is an individual independent duty corpsman provider in San Diego, California and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1548176514

Entity TypeIndividualFemale

Primary Taxonomy1710I1002X

Provider Legal NameAMY CROCKETT

Location Address2496 BAUER RDSan Diego, CA 92126

Mailing Address34101 Farenholt Ave Bldg 14San Diego, CA 92134-7000 · (619) 532-7968

Phone(619) 881-9011

Sole ProprietorNo

Enumeration DateAugust 20, 2026

NPPES CertifiedAugust 14, 2026

✔ NPI 1548176514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers

Taxonomy Code1710I1002X

Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.

2496 BAUER RD, San Diego, CA 92126

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Other Providers at the Same Location NPPES 11

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

JOEL MCGOWAN MD

Preventive Medicine (Aerospace Medicine)

2496 BAUER RD, BUILDING 2496
SAN DIEGO, CA 92126

San Diego County (619) 881-9011

ZHIQIAO DONG MD

General Practice

2496 BAUER RD
SAN DIEGO, CA 92126

San Diego County (619) 881-9011

JULIANA RODRIGUEZ BOHORQUEZ MD

Preventive Medicine (Aerospace Medicine)

2496 BAUER RD
SAN DIEGO, CA 92126

San Diego County (619) 881-9011

ANDREW FREDERICK NELSON MD

Preventive Medicine (Aerospace Medicine)

2496 BAUER RD
MIRAMAR, CA 92126

San Diego County (505) 382-8530

KATHERINE ANN KELLY MD

General Practice

2496 BAUER RD
SAN DIEGO, CA 92126

San Diego County (619) 881-9011

MARK GEMENDER

Military Health Care Provider

2496 BAUER RD
SAN DIEGO, CA 92126

San Diego County (619) 881-9011

DR. JEFFREY M RICE MD

Neurological Surgery

2496 BAUER RD
SAN DIEGO, CA 92126

San Diego County (619) 881-9011

TIFFANY MORAN FNP

Nurse Practitioner (Family)

2496 BAUER RD
SAN DIEGO, CA 92126

San Diego County (619) 881-9011

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 Amy Crockett's NPI number?

The NPI number for Amy Crockett is 1548176514. It was assigned to this individual provider in the NPPES registry on August 20, 2026.

Where is Amy Crockett located?

Amy Crockett practices at 2496 Bauer Rd, San Diego, CA 92126. The listed phone number is (619) 881-9011.

What is Amy Crockett's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Amy Crockett was last updated on August 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.