DR. JOAN D CROCKETT M.D.
NPI 1710991104
Family Medicine in Anderson, IN

Q: What is Joan Crockett's NPI number?

The NPI number for Joan Crockett is 1710991104. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Q: What is Joan Crockett's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Joan Crockett was last updated on April 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since July 28, 2006

1916 JACKSON ST, ANDERSON, IN 46016(765) 683-3162(765) 683-3164 Get Directions Write a Review

NPPES record last updated: April 16, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Joan D Crockett M.d. NPPES

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

DR. JOAN D CROCKETT M.D. (NPI 1710991104) is an individual family medicine provider in Anderson, Indiana, licensed in Indiana (01044203) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1710991104

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. JOAN D CROCKETTCredential: M.D.

Location Address1916 JACKSON STAnderson, IN 46016-4336

Mailing Address10330 N Meridian St, Suite 201Indianapolis, IN 46290-1024

Phone(765) 683-3162

Fax(765) 683-3164

Sole ProprietorNo

Enumeration DateJuly 28, 2006

Last NPPES UpdateApril 16, 2010

✔ NPI 1710991104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IN · 01044203

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1916 JACKSON ST, Anderson, IN 46016

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Other Identifiers 6

Other01044203BIN · Csr

Medicaid200062390IN

Medicare PIN197970IN

Medicare PIN250960TIN

Medicare PIN305590IN

Medicare UPING16562IN

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 Joan Crockett's NPI number?

The NPI number for Joan Crockett is 1710991104. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Where is Joan Crockett located?

Joan Crockett practices at 1916 Jackson St, Anderson, IN 46016. The listed phone number is (765) 683-3162.

What is Joan Crockett's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Joan Crockett was last updated on April 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.