Ericka Don Craker

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

105 Prather Path Ste 1100
Georgetown, KY 40324-9209

Phone

(502) 603-5220

NPI assigned

Feb 3, 2025

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

Medicare fee-for-service enrollment

Enrolled in KY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Southeastern Emergency Physicians LLC

  • Emergency Medicine Physician
  • Maysville, KY
  • NPI 1356379382
  Medicare reassignment

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

{
    "created_epoch": "1738540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1235943119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 AMERSON ORCHARD RD APT 106",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403248341",
            "telephone_number": "502-510-2979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 PRATHER PATH STE 1100",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403249209",
            "telephone_number": "502-603-5220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAKER",
        "first_name": "ERICKA",
        "middle_name": "DON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-03",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy J Cox, ARNP
• Tayler Craft, SLP
• Bridgett Nicole Craig
• Katherine L Craig, APRN
• Kelly Craig, LPCA
• Jill Ellen Crawford, ARNP
• Joyce Elizabeth Crawford, LCSW
• Marcie Crawford
• Amy Marie Crist, MS, RD, LD
• Carrie Crum, APRN

• Physician Assistant in Georgetown, KY
• Providers in Georgetown, KY by specialty
• Physician Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.