Active NPI
Jill Craig, LD, CNS
- Nutrition Education Nutritionist
- Beavercreek, OH
National Provider Identifier
1295581650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Education Nutritionist
- License
- 10438
- Practice address
- 370 Cattail Way
Apt. O
Beavercreek, OH 45440 - Phone
- (937) 902-2569
- NPI assigned
- Apr 26, 2024
- 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 |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | 10438 | OH | Primary |
Addresses
Primary practice location
370 Cattail Way
Apt. O
Beavercreek, OH 45440
Mailing address
370 Cattail Way
Apt. O
Beavercreek, OH 45440
Phone (937) 902-2569
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
- Credentials
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10438 | OH | MD | Nutrition Education Nutritionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714089600000",
"number": "1295581650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "370 CATTAIL WAY",
"address_2": "APT. O",
"city": "BEAVERCREEK",
"state": "OH",
"postal_code": "45440",
"telephone_number": "937-902-2569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "370 CATTAIL WAY",
"address_2": "APT. O",
"city": "BEAVERCREEK",
"state": "OH",
"postal_code": "45440",
"telephone_number": "937-902-2569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAIG",
"first_name": "JILL",
"name_prefix": "Mrs.",
"credential": "LD, CNS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-26",
"last_updated": "2024-04-26",
"certification_date": "2024-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "OH",
"license": "10438",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beavercreek, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.