IVORY V CROCKETT QBHP
NPI 1922373273
Case Manager/Care Coordinator in Osceola, AR

Q: What is Ivory Crockett's NPI number?

The NPI number for Ivory Crockett is 1922373273. It was assigned to this individual provider in the NPPES registry on March 20, 2012.

Q: What is Ivory Crockett's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Ivory Crockett was last updated on July 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 March 20, 2012

3201 W KEISER AVE, OSCEOLA, AR 72370(870) 622-0592(870) 622-0782 Get Directions Write a Review

NPPES record last updated: July 13, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Ivory V Crockett Qbhp NPPES

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

IVORY V CROCKETT QBHP (NPI 1922373273) is an individual case manager/care coordinator provider in Osceola, Arkansas and active in the NPI registry since March 2012.

NPPES Registry Identity

NPI1922373273

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameIVORY V CROCKETTCredential: QBHP

Location Address3201 W KEISER AVEOsceola, AR 72370-3467

Mailing Address1815 Pleasant Grove RdJonesboro, AR 72405-7870 · (870) 933-6886 · Fax (870) 622-0782

Phone(870) 622-0592

Fax(870) 622-0782

Sole ProprietorYes

Enumeration DateMarch 20, 2012

Last NPPES UpdateJuly 13, 2020

NPPES CertifiedJuly 13, 2020

✔ NPI 1922373273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

3201 W KEISER AVE, Osceola, AR 72370

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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.

KAREN EVONNE LEWIS

Case Manager/Care Coordinator