Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Tanya Ezell Crockett, APRN, CPNP-PC

Individual provider Pediatric Nurse Practitioner · NPI 1740564954

Mrs. Tanya Ezell Crockett, APRN, CPNP-PC is a Nurse Practitioner in Louisville, Kentucky. Qualified in 2018, 8 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
8
Licensed in
KY
In the registry since
2011
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

231 E Chestnut St
Louisville, KY 40202-1821
Phone: (502) 629-4750
Fax: (502) 629-4617
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 496 Southland Dr, Lexington, KY 40503-1827 — (859) 288-2425

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 3007181 (KY)

Record details

NPI number1740564954
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN , CPNP-PC
Sole proprietorNo
NPI enumeratedOctober 6, 2011
Last updated in NPPESFebruary 24, 2026
Certification dateFebruary 24, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Louisville