Active NPI
Lakoya Gratic Craig
- Specialist
- Blythewood, SC
National Provider Identifier
1245675859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 87522
- Practice address
- 132 Osprey Nest CT
Blythewood, SC 29016-8024 - Phone
- (803) 381-7549
- NPI assigned
- May 8, 2013
- Last updated
- May 8, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 87522 | SC | Primary |
Addresses
Primary practice location
132 Osprey Nest CT
Blythewood, SC 29016-8024
Mailing address
132 Osprey Nest CT
Blythewood, SC 29016-8024
Phone (803) 381-7549
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
| License | State | Type | Specialty |
|---|---|---|---|
| 87522 | SC | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367971200000",
"number": "1245675859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "132 OSPREY NEST CT",
"city": "BLYTHEWOOD",
"state": "SC",
"postal_code": "290168024",
"telephone_number": "803-381-7549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 OSPREY NEST CT",
"city": "BLYTHEWOOD",
"state": "SC",
"postal_code": "290168024",
"telephone_number": "803-381-7549"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAIG",
"first_name": "LAKOYA",
"middle_name": "GRATIC",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-08",
"last_updated": "2013-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "SC",
"license": "87522",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blythewood, SC
- Beth Chaney
- Chiropractic of Blythewood, LLC
- Communication Dynasty, LLC
- Country Comfort Homes, LLC (clifford a. counts)
- Joseph James Craft Jr., LMT, BCTMB
- Crocodile Pharmacy Services, LLC (CP-Blythewood)
- Carol Crosby, CCC-SLP
- Jill Crossgrove, MA, LPC, LPCS, LAC
- Jaritza Denise Cruz
- Latanya Yvette Damon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.