Individual provider Active NPI

Melissa Rene Craven, RRT

  • Home Health Registered Respiratory Therapist
  • Hanahan, SC
National Provider Identifier
1417396540
Registry record updated Jun 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered Respiratory TherapistTaxonomy code 2279H0200X
License
37918 Issued in SC
Practice address
6312 Murray Dr
Hanahan, SC 29410-2020
Phone
(843) 789-7925
NPI assigned
Jun 21, 2013
Last updated
Jun 21, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Respiratory Therapist 2279H0200X 37918 SC Primary

Addresses

Primary practice location

6312 Murray Dr
Hanahan, SC 29410-2020

Mailing address

6312 Murray Dr
Hanahan, SC 29410-2020
Phone (843) 789-7925

Other identifiers 1

IdentifierTypeStateIssuer
2278H0200XOtherSCVA HEALTH ADMINISTRATION

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

NPI Registry JSON

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

{
    "created_epoch": "1371772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371772800000",
    "number": "1417396540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6312 MURRAY DR",
            "city": "HANAHAN",
            "state": "SC",
            "postal_code": "294102020",
            "telephone_number": "843-789-7925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6312 MURRAY DR",
            "city": "HANAHAN",
            "state": "SC",
            "postal_code": "294102020",
            "telephone_number": "843-789-7925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAVEN",
        "first_name": "MELISSA",
        "middle_name": "RENE",
        "name_prefix": "Ms.",
        "credential": "RRT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-21",
        "last_updated": "2013-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2279H0200X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Home Health",
            "state": "SC",
            "license": "37918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA HEALTH ADMINISTRATION",
            "identifier": "2278H0200X",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanahan, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.

Verify at the official NPI Registry.