Individual provider Active NPI

Chandra M. Cravens, FNP

  • Nurse Practitioner
  • Temple, TX
National Provider Identifier
1396715264
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
658334 Issued in TX
Practice address
111 W Central Ave
Temple, TX 76501-7628
Phone
(512) 639-1323
Fax
(888) 616-0348
NPI assigned
Jan 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 658334 TX
Family Nurse Practitioner 363LF0000X 589146 CA
Nurse Practitioner 363L00000X 658334 TX Primary

Addresses

Primary practice location

111 W Central Ave
Temple, TX 76501-7628

Mailing address

PO Box 1345
Lampasas, TX 76550-0011
Phone (281) 989-3319

Other identifiers 2

IdentifierTypeStateIssuer
303152YT2MOtherMEDICARE PTAN:
092914303MedicaidTX

Other names 1

  • Miss Chandra Bren McCarty Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20061208000434 TX Practitioner - Nurse Practitioner 9133128754 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
589146CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
William S Marsh III, DO, PA CurrentSince Oct 1, 2013 Accepting new patients
Made Whole Telehealth & Concierge Services, LLC CurrentSince Oct 9, 2022 Accepting new patients
Brazos Emergency Physicians, PA Past Accepting new patients

Locations

2300 Clear Creek Rd
Ste 103
Killeen, TX 76549
Phone (254) 519-1900

5320 E Central Texas Expy
Ste 105
Killeen, TX 76543
Phone (254) 519-1900

111 W Central Ave
Temple, TX 76501
Phone (281) 989-3319

Interoperability endpoints

  • Direct secure messaging: chandra.cravens@398008301912068.direct.elationemr.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1396715264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1345",
            "city": "LAMPASAS",
            "state": "TX",
            "postal_code": "765500011",
            "telephone_number": "281-989-3319",
            "fax_number": "888-616-0348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W CENTRAL AVE",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765017628",
            "telephone_number": "512-639-1323",
            "fax_number": "888-616-0348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAVENS",
        "first_name": "CHANDRA",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-24",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "658334",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "589146",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "658334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN:",
            "identifier": "303152YT2M",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092914303",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHANDRA",
            "last_name": "MCCARTY",
            "middle_name": "BREN",
            "prefix": "MISS",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Temple, TX

Sources for this page

Verify at the official NPI Registry.