Andrea Lynn Craft, IBCLC, RN

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

L-316697 Issued in TN

Practice address

3692 W Market St
Johnson City, TN 37604-9302

Phone

(423) 737-5794

NPI assigned

Dec 30, 2024

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

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.

• The Nursing Nook LLC

  • Lactation Consultant (Registered Nurse)
  • Jonesborough, TN
  • NPI 1467220574

  Lactation Consultant

  NPD
• The Nursing Nook

  • Durable Medical Equipment & Medical Supplies
  • Jonesborough, TN
  • NPI 1396090759
  NPD (past)

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

{
    "created_epoch": "1735516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1245048727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 GLEN OAKS DR",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376153778",
            "telephone_number": "423-833-5078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3692 W MARKET ST",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376049302",
            "telephone_number": "423-737-5794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAFT",
        "first_name": "ANDREA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "IBCLC, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-30",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "TN",
            "license": "133378",
            "primary": false
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "TN",
            "license": "L-316697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel E Cox, O.D.
• John Gregory Crabill, MD
• Angel M Crabtree, PHARMD
• Regina Crabtree
• Frankie Cradic
• Matthew Ryan Craven, PHARMD
• Teresa Lynn Craven, LPN
• Amanda Crawford
• Bethany Brianna Crawford, COTA
• Claire Catherine Crawford, MD

• All providers in Johnson City, TN
• Lactation Consultant (Registered Nurse) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.