MARYLIZ CROCKETT
NPI 1902255698
Registered Nurse - School in Mitchell, SD

Active since June 03, 2016
110 N MENTZER ST, MITCHELL, SD 57301(605) 995-3021 Get Directions Write a Review

NPPES record last updated: June 3, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Maryliz Crockett NPPES

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

MARYLIZ CROCKETT (NPI 1902255698) is an individual school provider in Mitchell, South Dakota, licensed in South Dakota (R024581) and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1902255698
Entity TypeIndividualFemale
Primary Taxonomy163WS0200X
Provider Legal NameMARYLIZ CROCKETT
Location Address110 N MENTZER STMitchell, SD 57301-8001
Mailing Address110 N Mentzer StMitchell, SD 57301-8001
Sole ProprietorYes
Enumeration DateJune 3, 2016
NPI 1902255698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · SchoolNursing Service Providers
Taxonomy Code163WS0200X
License Licensed in SD · R024581
110 N MENTZER ST, Mitchell, SD 57301

Other Providers at the Same Location NPPES 9

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

Speech-Language Pathologist
110 N MENTZER ST
MITCHELL, SD 57301
Speech-Language Pathologist
110 N MENTZER ST
MITCHELL, SD 57301
Speech-Language Pathologist
110 N MENTZER ST
MITCHELL, SD 57301
Speech-Language Pathologist
110 N MENTZER ST
MITCHELL, SD 57301
Registered Nurse (School)
110 N MENTZER ST
MITCHELL, SD 57301
Registered Nurse (School)
110 N MENTZER ST
MITCHELL, SD 57301
Psychologist (School)
110 N MENTZER ST
MITCHELL, SD 57301
Registered Nurse (School)
110 N MENTZER ST
MITCHELL, SD 57301

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 Maryliz Crockett's NPI number?

The NPI number for Maryliz Crockett is 1902255698. It was assigned to this individual provider in the NPPES registry on June 3, 2016.

Where is Maryliz Crockett located?

Maryliz Crockett practices at 110 N Mentzer St, Mitchell, SD 57301. The listed phone number is (605) 995-3021.

What is Maryliz Crockett's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in School, with taxonomy code 163WS0200X.

When was this NPI record last updated?

The NPPES record for Maryliz Crockett was last updated on June 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.