Active NPIIndividual provider

Kaleena Crooks, NP

Nurse Practitioner, Family in Putnam, Connecticut

NPI Number1639717408
Practice location
202 Pomfret St, Putnam, CT 06260-1833
Fax
860-963-0015
Last updated
April 19, 2024

Kaleena Crooks is a Nurse Practitioner, Family based in Putnam, CT. Kaleena Crooks practices in Putnam, CT and has the professional credentials of NP. The NPI Number for Kaleena Crooks is 1639717408 and holds a License No. 12681 (CT). The current practice location address for Kaleena Crooks is 202 Pomfret St, Putnam, CT 06260-1833 and can be reached out via phone at 860-963-7917 and via fax at 860-963-0015.

Provider Profile Details

NPI Number
1639717408
Provider Name
Kaleena Crooks
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
202 Pomfret St, Putnam, CT 06260-1833
Phone Number
860-963-7917
Fax Number
860-963-0015
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
December 12, 2019
Last Update Date
April 19, 2024
Certification Date
April 19, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
202 Pomfret St
Putnam, CT 06260-1833
City
Putnam
Zip
06260-1833
Phone Number
860-963-7917
Fax Number
860-963-0015
Putnam, CT 06260Get directions →

Provider Business Mailing Address Details

Address
40 Mansfield Ave
Willimantic, CT 06226-2018
City
Willimantic
State
CT
Zip
06226-2018
Phone Number
860-450-7471

License Information

License Number
12681
License State
CT
Taxonomy
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kaleena Crooks, NP?

The NPI number of Kaleena Crooks, NP is 1639717408. It was assigned on December 12, 2019 and is currently active in the NPPES registry.

What is the specialty of Kaleena Crooks, NP?

Kaleena Crooks, NP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in CT under license number 12681.

Where does Kaleena Crooks, NP practice?

The practice location is 202 Pomfret St, Putnam, CT 06260-1833. The office can be reached at 860-963-7917 (phone) or 860-963-0015 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1639717408 directly on the NPPES registry website.

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