Individual provider Active NPI

Cristina Loredana Cracana, LPN

  • Licensed Practical Nurse
  • Holbrook, NY
National Provider Identifier
1245600162
Registry record updated Oct 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
316398 Issued in NY
Practice address
1069 Main St
Suite 133
Holbrook, NY 11741-1618
Phone
(718) 801-9353
NPI assigned
Oct 5, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 316398 NY Primary

Addresses

Primary practice location

1069 Main St
Suite 133
Holbrook, NY 11741-1618

Mailing address

1069 Main St
Suite 133
Holbrook, NY 11741-1618
Phone (718) 801-9353

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
316398NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1444003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444003200000",
    "number": "1245600162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1069 MAIN ST",
            "address_2": "SUITE 133",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117411618",
            "telephone_number": "718-801-9353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1069 MAIN ST",
            "address_2": "SUITE 133",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117411618",
            "telephone_number": "718-801-9353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRACANA",
        "first_name": "CRISTINA",
        "middle_name": "LOREDANA",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-05",
        "last_updated": "2015-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "316398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holbrook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; 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.