Kenneth Lee Craft Jr., FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

001840 Issued in NV

Practice address

150 Country Estates Cir Ste 111
Reno, NV 89511-4017

Phone

(775) 400-6617

Fax

(775) 418-6100

NPI assigned

Nov 30, 2012

Last updated

Jun 26, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NV

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, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19797/brand/1/csg/1/fhir/r4

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.

• BC Medical

  • Family Nurse Practitioner
  • Reno, NV
  • NPI 1730803115
  NPD Authorized official
• Kenneth Craft - a Nursing Corporation

  • Psychiatric/Mental Health Nurse Practitioner
  • North Highlands, CA
  • NPI 1770444218
  Authorized official Same address or phone
• C & C Health Care Services LLC

  dba C & C Health Care Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Las Vegas, NV
  • NPI 1528602737
  NPD (past)
• Capital Medical Extended Care

  • Skilled Nursing Facility
  • Sacramento, CA
  • NPI 1295131092
  NPD (past)

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

{
    "created_epoch": "1354233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1245575315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3983 S MCCARRAN BLVD # 703",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895027510",
            "telephone_number": "775-400-6617",
            "fax_number": "775-418-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 COUNTRY ESTATES CIR STE 111",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895114017",
            "telephone_number": "775-400-6617",
            "fax_number": "775-418-6100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6716 Madison Ave Ste A1",
            "address_purpose": "LOCATION",
            "city": "Fair Oaks",
            "state": "CA",
            "postal_code": "956283159",
            "country_code": "US",
            "telephone_number": "775-400-6617",
            "fax_number": "775-418-6100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAFT",
        "first_name": "KENNETH",
        "middle_name": "LEE",
        "name_suffix": "Jr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-30",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "726633",
            "primary": false
        },
        {
            "code": "163WC1600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continuing Education/Staff Development",
            "state": "CA",
            "license": "726633",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "22618",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "001840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100539957",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Crabson
• Amanda May Crabtree
• Charissa Marie Crabtree
• Tammy Crabtree, RN
• Brianna Marie Cracco, RN,BSN
• Aliona James Craig
• Derek Craig
• Kristina Francoise Craig, RN
• Kristy Craig
• Rebecca Craig

• Family Nurse Practitioner in Reno, NV
• Providers in Reno, NV by specialty
• Family Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.