Individual provider Active NPI

Terrinne Elaine Craft, NP

  • Family Nurse Practitioner
  • Grand Prairie, TX
National Provider Identifier
1144867482
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP144018 Issued in TX
Practice address
5224 S State Highway 360
Grand Prairie, TX 75052-0950
Phone
(972) 522-0691
Fax
(972) 522-1053
NPI assigned
Dec 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 32476 TX
Family Nurse Practitioner 363LF0000X AP144018 TX Primary

Addresses

Primary practice location

5224 S State Highway 360
Grand Prairie, TX 75052-0950

Mailing address

5224 S State Highway 360
Grand Prairie, TX 75052-0950
Phone (972) 522-0691

Other practice location 1

2640 Windward Dr
Grand Prairie, TX 75054-7224
Phone (682) 438-9500 ext. 68243

Other identifiers 1

IdentifierTypeStateIssuer
F10190529OtherTXAANPCB NUMBER

Other names 1

  • Ms. Terrine Elaine Townsend Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL terrinne@yahoo.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240307001989 TX Practitioner - Nurse Practitioner 4688010069 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MedhealthGroup PAC ID 9931001567, 435 clinicians

Practice addresses (Care Compare)

5224 S State Hwy 360
Grand Prairie, TX 75052-0950
Phone (972) 522-0691

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
32476TXMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Medhealth CurrentSince Mar 18, 2024 Accepting new patients
Medhealth CurrentSince Mar 18, 2024 Accepting new patients

Locations

1441 N Beckley Ave
Dallas, TX 75203
Phone (214) 712-2429

5224 S State Highway 360
Ste 230
Grand Prairie, TX 75052
Phone (972) 522-0691

5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691

Organizations & group practices 2

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": "1575504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1144867482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5224 S STATE HIGHWAY 360",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750520950",
            "telephone_number": "972-522-0691",
            "fax_number": "972-522-1053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5224 S STATE HIGHWAY 360",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750520950",
            "telephone_number": "972-522-0691",
            "fax_number": "972-522-1053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2640 Windward Dr",
            "address_purpose": "LOCATION",
            "city": "Grand Prairie",
            "state": "TX",
            "postal_code": "750547224",
            "country_code": "US",
            "telephone_number": "682-438-9500 x68243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAFT",
        "first_name": "TERRINNE",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-05",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "32476",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP144018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AANPCB NUMBER",
            "identifier": "F10190529",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "terrinne@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2640 Windward Dr",
            "city": "Grand Prairie",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750547224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TERRINE",
            "last_name": "TOWNSEND",
            "middle_name": "ELAINE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Prairie, TX

Sources for this page

Verify at the official NPI Registry.