Active NPI
Trey Allen Craig
- Case Manager/Care Coordinator
- Sulphur, OK
National Provider Identifier
1538452354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 6184 Trett Slab Rd
Sulphur, OK 73086-8501 - Phone
- (580) 819-1289
- NPI assigned
- May 26, 2011
- Last updated
- May 26, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | NU | Primary |
Addresses
Primary practice location
6184 Trett Slab Rd
Sulphur, OK 73086-8501
Mailing address
6184 Trett Slab Rd
Sulphur, OK 73086-8501
Phone (580) 819-1289
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": "1306368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306368000000",
"number": "1538452354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6184 TRETT SLAB RD",
"city": "SULPHUR",
"state": "OK",
"postal_code": "730868501",
"telephone_number": "580-819-1289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6184 TRETT SLAB RD",
"city": "SULPHUR",
"state": "OK",
"postal_code": "730868501",
"telephone_number": "580-819-1289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAIG",
"first_name": "TREY",
"middle_name": "ALLEN",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-05-26",
"last_updated": "2011-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sulphur, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.