NICOLE ALYSE CROOM M.D., M.P.H.
NPI 1730620949
Student in an Organized Health Care Education/Training Program in San Francisco, CA
About Nicole Alyse Croom M.d., M.p.h. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE ALYSE CROOM M.D., M.P.H. (NPI 1730620949) is an individual student in an organized health care education/training program in San Francisco, California and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nicole Alyse Croom M.d., M.p.h. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN FRANCISCO, CA 94143
SAN FRANCISCO, CA 94143
SAN FRANCISCO, CA 94143
SAN FRANCISCO, CA 94143
SAN FRANCISCO, CA 94143
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 Nicole Croom's NPI number?
The NPI number for Nicole Croom is 1730620949. It was assigned to this individual provider in the NPPES registry on March 20, 2017.
Where is Nicole Croom located?
Nicole Croom practices at 505 Parnassus Ave, San Francisco, CA 94143. The listed phone number is (415) 476-9000.
What is Nicole Croom's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Nicole Croom enrolled in Medicare?
Yes. Nicole Croom is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Nicole Croom was last updated on March 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Nicole Alyse Croom, M.D., M.P.H. · NPI 1730620949
Student in an Organized Health Care Education/Training Program provider in San Francisco, California. Individual provider, active in the CMS NPPES registry since March 20, 2017.
## Identity
- **NPI:** 1730620949 (Entity type: Individual)
- **Enumerated:** March 20, 2017
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 505 PARNASSUS AVE, San Francisco, CA 94143-2204
- **Phone:** (415) 476-9000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** March 21, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1730620949) · Data from the CMS NPPES public registry.