Individual provider Active NPI

Lucia Criveanu, MD

  • Pediatrics Physician
  • Burnsville, NC
National Provider Identifier
1003808403
Registry record updated Jan 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
96-01280 Issued in NC
Practice address
800 Medical Campus Dr
Burnsville, NC 28714-9010
Phone
(828) 682-0200
Fax
(828) 682-5095
NPI assigned
Aug 22, 2005
Last updated
Jan 13, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 96-01280 NC Primary

Addresses

Primary practice location

800 Medical Campus Dr
Burnsville, NC 28714-9010

Mailing address

800 Medical Campus Dr
Burnsville, NC 28714-9010
Phone (828) 682-0200

Other identifiers 2

IdentifierTypeStateIssuer
25769OtherNCBCBS
8925769MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
96-01280NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MH Blue Ridge Medical Center, LLLP Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231804800000",
    "number": "1003808403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MEDICAL CAMPUS DR",
            "city": "BURNSVILLE",
            "state": "NC",
            "postal_code": "287149010",
            "telephone_number": "828-682-0200",
            "fax_number": "828-682-5095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MEDICAL CAMPUS DR",
            "city": "BURNSVILLE",
            "state": "NC",
            "postal_code": "287149010",
            "telephone_number": "828-682-0200",
            "fax_number": "828-682-5095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRIVEANU",
        "first_name": "LUCIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-22",
        "last_updated": "2009-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "96-01280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "25769",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8925769",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.