Susan Lill Craven, NP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Hamlet, NC
NPI 1003079450 · NPPES record last updated Jul 5, 2017
Key facts
- NPI
- 1003079450
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 600020 (NC)
- Practice address
- 106 Jefferson St
Hamlet, NC 28345-3100 - Phone
- (910) 267-0421
- NPI assigned
- Jul 7, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040525001532 | NC | Practitioner - Nurse Practitioner | 5294716395 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 600020 | NC | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Goshen Medical Center, Incorporated | Current | Accepting new patients | |
| Goshen Medical Center, Incorporated | Past | Accepting new patients | |
| Hamlet Hma PPM LLC | Nurse Practitioner | Past | Accepting new patients |
| Wadesboro Family Medicine PA | Past |
Accepting new patients |
Interoperability endpoints
- scraven@goshenmedical.cloudcraftdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 600020 | NC | Yes |
Addresses
Primary practice location
106 Jefferson St
Hamlet, NC 28345-3100
Mailing address
PO Box 187
Faison, NC 28341-0187
Phone (888) 849-7379
Other providers in Hamlet, NC
- Clearwaters Counseling Services, LLC
- William Nall Cleveland
- William Raymond Comeau
- Comforting Solutions LLC
- Continuum II Home Health & Hospice, Inc.
- Rembert Alphonso Crawford
- Deborah C. James
- Doc Hills Family Care Home
- Deniz Dogan
- Catherine Lentz Efird
All providers in Hamlet, NC · Psychiatric/Mental Health Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 5, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.