Nicole J Craven, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

2004-01378 Issued in NC

Practice address

3288 Robinhood Rd Ste 202
Winston Salem, NC 27106-5464

Phone

(336) 209-5884

NPI assigned

Jun 20, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Previously, effective Sep 14, 2020 through Sep 14, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Kathleen E. Lucas MD, PA

  • Pediatrics Physician
  • Greensboro, NC
  • NPI 1841250982
  NPD (past)
• Robinhood Integrative Health, PLLC

  • Primary Care Clinic/Center
  • Winston Salem, NC
  • NPI 1760771406
  NPD (past)
• Whole Family Healthcare PA

  • Acupuncturist
  • Winter Park, FL
  • NPI 1811222508
  NPD (past)

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1104821644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3288 ROBINHOOD RD STE 202",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271065464",
            "telephone_number": "336-768-3335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3288 ROBINHOOD RD STE 202",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271065464",
            "telephone_number": "336-209-5884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAVEN",
        "first_name": "NICOLE",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-20",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2004-01378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2468828",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER #",
            "identifier": "13837",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7280705",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5908891",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madison Nicole Crank, MD
• Jennifer Ruth Cranny, MD
• A Lynn Cranor, CRNA
• Brandon Lee Craven, M.D.
• Caitlin Amanda Craven, MA, CCC-SLP
• Amy Bond Craver, M.S., LPCA, NCC
• Claire Craver
• Kelsey Lena Craver, MD
• Jo Crawford, RPH
• Timothy Wayne Crawford, PH.D.

• Pediatrics Physician in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.