Active NPI
Carol B Craig, N.P.
- Family Nurse Practitioner
- Gonzales, LA
National Provider Identifier
1023032810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN046542/AP03176
- Practice address
- 1104 W Highway 30
Gonzales, LA 70737-5003 - Phone
- (225) 644-2100
- Fax
- (225) 644-5213
- NPI assigned
- Jul 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN046542/AP03176 | LA | Primary |
Addresses
Primary practice location
1104 W Highway 30
Gonzales, LA 70737-5003
Mailing address
1104 W Highway 30
Gonzales, LA 70737-5003
Phone (225) 644-2100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1555576 | Medicaid | IA |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN046542/AP03176 | LA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023032810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1104 W HIGHWAY 30",
"city": "GONZALES",
"state": "LA",
"postal_code": "707375003",
"telephone_number": "225-644-2100",
"fax_number": "225-644-5213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1104 W HIGHWAY 30",
"city": "GONZALES",
"state": "LA",
"postal_code": "707375003",
"telephone_number": "225-644-2100",
"fax_number": "225-644-5213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAIG",
"first_name": "CAROL",
"middle_name": "B",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "RN046542/AP03176",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1555576",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gonzales, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.