Hunter Brook Craven

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146.017293 Issued in IL

Practice address

1329 Il-3
Suite 4
Waterloo, IL 62298

Phone

(618) 939-7761

NPI assigned

Aug 9, 2023

Last updated

Aug 9, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wonder Works Pediatric Therapy P.C.

  • Speech-Language Pathologist
  • Waterloo, IL
  • NPI 1649022518
  NPD (past)

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1396428025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4420 BOEING RD",
            "city": "SCOTT AFB",
            "state": "IL",
            "postal_code": "622256308",
            "telephone_number": "910-496-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 IL-3",
            "address_2": "SUITE 4",
            "city": "WATERLOO",
            "state": "IL",
            "postal_code": "62298",
            "telephone_number": "618-939-7761"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4941 Benchmark Centre Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Swansea",
            "state": "IL",
            "postal_code": "622262038",
            "country_code": "US",
            "telephone_number": "618-416-7227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAVEN",
        "first_name": "HUNTER",
        "middle_name": "BROOK",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.017293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Living Options Inc (Bellefontaine Place)
• County of Monroe (Monroe County Ambulance Service)
• County of Monroe
• Scott L Courtney, RPH
• Kendra Crain, RSA
• Elizabeth Crawford, MHP
• Michelle Crider, RSA
• Kayla Crome, PHARMD
• Jeff Cytron, O.D.
• Teaira Dailey, MHP

• Speech-Language Pathologist in Waterloo, IL
• Providers in Waterloo, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.