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TRISTIAN CORBIN CROCKETT
NPI 1750899076
Student in an Organized Health Care Education/Training Program in Emory, VA

Active since January 22, 2018
30461 GARNAND DR, EMORY, VA 24327(540) 580-3560 Get Directions Write a Review

NPPES record last updated: January 22, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tristian Corbin Crockett NPPES

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

TRISTIAN CORBIN CROCKETT (NPI 1750899076) is an individual student in an organized health care education/training program in Emory, Virginia and active in the NPI registry since January 2018.

NPPES Registry Identity

NPI1750899076
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTRISTIAN CORBIN CROCKETT
Location Address30461 GARNAND DREmory, VA 24327
Mailing Address4099 Daugherty RdSalem, VA 24153-1993
Phone(540) 580-3560
Sole ProprietorNo
Enumeration DateJanuary 22, 2018
✔ NPI 1750899076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
30461 GARNAND DR, Emory, VA 24327
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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.

CARSON DOUGLAS BRYANT
Student in an Organized Health Care Education/Training Program
30461 GARNAND DR
EMORY, VA 24327
Washington County (276) 944-6500
MATTHEW LEE WALL MSAT, ATC, LAT
Specialist/Technologist (Athletic Trainer)
30461 GARNAND DR
EMORY, VA 24327
Washington County (276) 944-6835

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 Tristian Crockett's NPI number?

The NPI number for Tristian Crockett is 1750899076. It was assigned to this individual provider in the NPPES registry on January 22, 2018.

Where is Tristian Crockett located?

Tristian Crockett practices at 30461 Garnand Dr, Emory, VA 24327. The listed phone number is (540) 580-3560.

What is Tristian 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 Tristian Crockett was last updated on January 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.