Pops Provisional Place LLC
NPI 1952820557ActiveOrganization· Licensed Practical Nurse· Buckeye, AZ
Licensed Practical Nurse in Buckeye, Arizona, registered in NPPES in September 2017. The authorized official on file is Marcia Dianne Crayton, LPN, Administrator.
Overview
| NPI | 1952820557 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 14, 2017 |
| Last updated in NPPES | Jul 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 044613 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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All 16 licensed practical nurses in Buckeye · All licensed practical nurses in Arizona