Shannon Craft

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN02272 Issued in RI

Practice address

107 Clock Tower SQ
Portsmouth, RI 02871-1396

Phone

(401) 293-5930

Fax

(401) 293-0097

NPI assigned

Oct 15, 2012

Last updated

Mar 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: scraft51254@direct.ctc.masshiway.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Healthfirst Family Care Center Inc.

  • Federally Qualified Health Center (FQHC)
  • Fall River, MA
  • NPI 1962435933
  Medicare reassignment NPD
• Compass Rose Psychiatry, LLC

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Portsmouth, RI
  • NPI 1992056758
  NPD (past)

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

{
    "created_epoch": "1350259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1174875132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 CLOCK TOWER SQ",
            "city": "PORTSMOUTH",
            "state": "RI",
            "postal_code": "028711396",
            "telephone_number": "401-293-5930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 CLOCK TOWER SQ",
            "city": "PORTSMOUTH",
            "state": "RI",
            "postal_code": "028711396",
            "telephone_number": "401-293-5930",
            "fax_number": "401-293-0097"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Fairhaven",
            "state": "MA",
            "postal_code": "027195252",
            "country_code": "US",
            "telephone_number": "508-973-3200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "874 Purchase St",
            "address_purpose": "LOCATION",
            "city": "New Bedford",
            "state": "MA",
            "postal_code": "027406232",
            "country_code": "US",
            "telephone_number": "508-992-6553",
            "fax_number": "508-990-7558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAFT",
        "first_name": "SHANNON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-15",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2269687",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "RI",
            "license": "APRN02272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandi Sue Colesanti, M.A. LMHC
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• Compass Rose Psychiatry, LLC
• Tanja M. Conroy, MSPT
• Susan Heather Cosimini I
• Caitlin Curis, PT
• Bowen R Daileader
• David a. Johnson DO, Inc
• Bok Nam De Gregorio, LIC. AC, MOM
• Deborah Winthrop Fine Lingerie and Gifts

• Psychiatric/Mental Health Nurse Practitioner in Portsmouth, RI
• Providers in Portsmouth, RI by specialty
• Psychiatric/Mental Health Nurse Practitioner in Rhode Island

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

Verify at the official NPI Registry.