Individual provider Active NPI

Christina Marrie Craven, AGNP-C

  • Hospice Registered Nurse
  • Wentzville, MO
National Provider Identifier
1023645116
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice Registered NurseTaxonomy code 163WH1000X
License
2020008023 Issued in MO
Practice address
9 Tiffany Lynn CT
Wentzville, MO 63385-3257
Phone
(636) 639-6280
Fax
(636) 639-6317
NPI assigned
Mar 26, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice Registered Nurse 163WH1000X 2020008023 MO Primary

Addresses

Primary practice location

9 Tiffany Lynn CT
Wentzville, MO 63385-3257

Mailing address

42 Berger Rd
Middletown, MO 63359-5403
Phone (573) 721-5960

Other practice location 1

1310 S Business Highway 61 Ste B
Bowling Green, MO 63334-5221
Phone (573) 324-9828

Other practice location 2

42 Berger Rd
Middletown, MO 63359-5403
Phone (573) 721-5960

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address tina.craven@lhcgroup.com Health Information Exchange (HIE) LHCG XXV LLC
Direct Messaging Address tina.craven@lhcgroup.com Health Information Exchange (HIE) LHCG XXV LLC

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2020008023MOMDHospice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
LHCG XXV LLC CurrentSince Mar 29, 2020 Accepting new patients

Locations

1310 S Business Highway 61
Ste B
Bowling Green, MO 63334
Phone (573) 324-9828

9 Tiffany Lynn Ct
Wentzville, MO 63385
Phone (636) 639-6280

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1023645116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 BERGER RD",
            "city": "MIDDLETOWN",
            "state": "MO",
            "postal_code": "633595403",
            "telephone_number": "573-721-5960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 TIFFANY LYNN CT",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633853257",
            "telephone_number": "636-639-6280",
            "fax_number": "636-639-6317"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1310 S Business Highway 61 Ste B",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "MO",
            "postal_code": "633345221",
            "country_code": "US",
            "telephone_number": "573-324-9828",
            "fax_number": "573-324-3026",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "42 Berger Rd",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "MO",
            "postal_code": "633595403",
            "country_code": "US",
            "telephone_number": "573-721-5960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAVEN",
        "first_name": "CHRISTINA",
        "middle_name": "MARRIE",
        "credential": "AGNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-26",
        "last_updated": "2023-11-27",
        "certification_date": "2020-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hospice",
            "state": "MO",
            "license": "2020008023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tina.craven@lhcgroup.com",
            "affiliation": "Y",
            "affiliationName": "LHCG XXV LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9 Tiffany Lynn Ct",
            "city": "Wentzville",
            "state": "MO",
            "country_code": "US",
            "postal_code": "633853257",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tina.craven@lhcgroup.com",
            "affiliation": "Y",
            "endpointDescription": "practice e-mail",
            "affiliationName": "LHCG XXV LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1310 S Business Highway 61 Ste B",
            "city": "Bowling Green",
            "state": "MO",
            "country_code": "US",
            "postal_code": "633345221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wentzville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.