Amy Janelle Craig, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R0091307 Issued in OK

Practice address

804 W Choctaw Ave
Chickasha, OK 73018-2310

Phone

(405) 222-0622

Fax

(405) 224-9532

NPI assigned

May 21, 2019

Last updated

Jul 24, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1467019828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 W CHOCTAW AVE",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730182310",
            "telephone_number": "405-222-0622",
            "fax_number": "405-224-9532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 W CHOCTAW AVE",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730182310",
            "telephone_number": "405-222-0622",
            "fax_number": "405-224-9532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "AMY",
        "middle_name": "JANELLE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-21",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OK",
            "license": "R0091307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Diane Conway, MS, RDLD
• Mitchell D Coppedge, MD
• Raymond L Cornelison, MD
• Kayla Dawhn Cornett
• Kamber Lauren Covey, M.S.
• Cross County Medical
• Heather Crowder
• Bill Bruce Crowell, M.D.
• Emily Cashae Denise Cuadra
• Madalyn Paige Cummins

• Psychiatric/Mental Health Nurse Practitioner in Chickasha, OK
• Providers in Chickasha, OK by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; 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.