Limited public information available

This provider is listed in NPPES, but additional records were not identified in the sources currently connected. Additional information may be available directly from official licensing authorities.

CLAY CROCKETT, PMHNP-BC

Advanced practice nursingPMHNP-BCNurse Practitioner

GILBERT, AZNPI · 1164120150Verified via NPPES

State verification availableSave

Source: NPPES NPI Registry

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Identity & practice

Legal name: CLAY CROCKETT, PMHNP-BC
Profession: Advanced practice nursing
NPI: 1164120150
Primary specialty: Nurse Practitioner
Taxonomy code: 363LP0808X
Practice status: Not on record
Credentials: PMHNP-BC
Practice address: 1525 S HIGLEY RD STE 104 · GILBERT, AZ, 852965045

Provider Intelligence

Everything public we can show about CLAY CROCKETT, PMHNP-BC

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State licenses

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Board certifications

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Education

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Not yet ingested

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Residency & fellowship

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Hospital affiliations

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Practice locations

Addresses where the provider is publicly listed as practising.

Public records available

1 location

1525 S HIGLEY RD STE 104 · GILBERT, AZ, 852965045 · Primary practice address (NPPES)4804012110Source record

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Public disciplinary actions

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NPI details

The federal identity record every U.S. provider must maintain.

Public records available

NPI 1164120150

Legal name · CLAY CROCKETT, PMHNP-BC
Credentials · PMHNP-BC
Primary taxonomy · Nurse Practitioner363LP0808X

NPPES is self-maintained by the provider, so contact details can be out of date.

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CMS participation

Whether the provider is enrolled in Medicare and accepting assignment.

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Medicare enrolment and assignment status are published by CMS and change frequently. Confirm before booking.

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OIG exclusion status

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Open Payments

Payments and transfers of value reported by drug and device manufacturers.

Not applicable

Not covered by the programme

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Years in practice

Time since the earliest licensing or practice record Phoenix can see.

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No dated record yet

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Languages

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Accepted insurance

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Procedure & specialty intelligence

What the specialty and taxonomy records say this provider is trained to do.

Public records available

1 specialty record

Nurse Practitioner · Primary specialty (NPPES taxonomy)363LP0808XSource record

Specialty codes describe scope of training, not procedure volume, outcomes, or suitability for your situation.

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