Doctor profile · Federal record
Dr. Tanya Crockett, APRN, CPNP-PC
Pediatric Nurse Practitioner · Louisville, KY
- NPI 1740564954
- 15 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
231 E Chestnut St
Louisville, KY 402021821
(502) 629-4750
fax (502) 629-4617 - Additional location
-
496 Southland Dr
Lexington, KY 405031827
(859) 288-2425
fax (859) 721-3918 - Mailing address
-
Po Box 776879
Chicago, IL 606776879
Credentials & registration
- NPI registered
- October 2011 — 15 yrs on file
- Profile last updated
- February 24, 2026
- Specialty taxonomy
- 363LP0200X — NUCC code
- State license (1)
- Kentucky #3007181
- Medicaid
- KY #7100197040
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1740564954. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$20
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Merck Sharp & Dohme LLC | 1 | $19.81 |
By nature of payment
Frequently asked questions
What is Dr. Tanya Crockett's medical specialty?
Dr. Tanya Crockett practices Pediatric Nurse Practitioner in Louisville, KY.
Where does Dr. Tanya Crockett practice?
Dr. Tanya Crockett practices at 231 E Chestnut St, Louisville, KY 402021821. Office phone: 5026294750.
What is Dr. Tanya Crockett's NPI?
Dr. Tanya Crockett's National Provider Identifier (NPI) is 1740564954, issued by NPPES.