Active NPI
Jacqulyn Craichy
- Speech-Language Pathologist
- Wilmington, NC
National Provider Identifier
1114445731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 13126
- Practice address
- 75 Cavalier Drive
Wilmington, NC 28403 - Phone
- (910) 726-2829
- NPI assigned
- Sep 4, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 13126 | NC | Primary |
| Speech-Language Pathologist | 235Z00000X | 35683 | CA |
Addresses
Primary practice location
75 Cavalier Drive
Wilmington, NC 28403
Mailing address
110 S 9TH St., Apt. a
Wilmington, NE 28401
Other practice location 1
6320 Canoga Ave Fl 15
Woodland Hills, CA 91367-2563
Phone (818) 894-2273
Other practice location 2
8929 Aero Dr Ste E
San Diego, CA 92123-2231
Phone (858) 277-2277
Other practice location 3
6420 Wilshire Blvd Ste 600
Los Angeles, CA 90048-5521
Phone (818) 894-2273
Other practice location 4
3356 W Ball Rd Ste 219
Anaheim, CA 92804-3728
Phone (818) 894-2273
Other practice location 5
599 S Barranca Ave Ste 555
Covina, CA 91723-2791
Phone (818) 894-2273
Other practice location 6
4300 Long Beach Blvd Ste 700
Long Beach, CA 90807-2000
Phone (818) 894-2273
Other practice location 7
16320 Roscoe Blvd
Van Nuys, CA 91406-1250
Phone (818) 894-2273
Other practice location 8
5806 Pacific Blvd
Huntington Park, CA 90255-2618
Phone (818) 894-2273
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
317 Robert E Lee Dr
Wilmington, NC 28412-6729
6320 Canoga Ave
FL 15
Woodland Hills, CA 91367-2593
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784160000000",
"number": "1114445731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 S 9TH ST., APT. A",
"city": "WILMINGTON",
"state": "NE",
"postal_code": "28401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 CAVALIER DRIVE",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "28403",
"telephone_number": "910-726-2829"
}
],
"practiceLocations": [
{
"address_1": "6320 Canoga Ave Fl 15",
"address_purpose": "LOCATION",
"city": "Woodland Hills",
"state": "CA",
"postal_code": "913672563",
"country_code": "US",
"telephone_number": "818-894-2273",
"fax_number": "818-357-2505",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8929 Aero Dr Ste E",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921232231",
"country_code": "US",
"telephone_number": "858-277-2277",
"fax_number": "818-357-2505",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6420 Wilshire Blvd Ste 600",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900485521",
"country_code": "US",
"telephone_number": "818-894-2273",
"fax_number": "818-357-2505",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3356 W Ball Rd Ste 219",
"address_purpose": "LOCATION",
"city": "Anaheim",
"state": "CA",
"postal_code": "928043728",
"country_code": "US",
"telephone_number": "818-894-2273",
"fax_number": "818-357-2505",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "599 S Barranca Ave Ste 555",
"address_purpose": "LOCATION",
"city": "Covina",
"state": "CA",
"postal_code": "917232791",
"country_code": "US",
"telephone_number": "818-894-2273",
"fax_number": "818-357-2505",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4300 Long Beach Blvd Ste 700",
"address_purpose": "LOCATION",
"city": "Long Beach",
"state": "CA",
"postal_code": "908072000",
"country_code": "US",
"telephone_number": "818-894-2273",
"fax_number": "818-357-2505",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16320 Roscoe Blvd",
"address_purpose": "LOCATION",
"city": "Van Nuys",
"state": "CA",
"postal_code": "914061250",
"country_code": "US",
"telephone_number": "818-894-2273",
"fax_number": "818-357-2505",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5806 Pacific Blvd",
"address_purpose": "LOCATION",
"city": "Huntington Park",
"state": "CA",
"postal_code": "902552618",
"country_code": "US",
"telephone_number": "818-894-2273",
"fax_number": "818-357-2505",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRAICHY",
"first_name": "JACQULYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-04",
"last_updated": "2026-07-16",
"certification_date": "2026-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "13126",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "35683",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.