Alisa Craddock, WHC-NP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

516437 Issued in TX

Practice address

1501 S Taylor St
Amarillo, TX 79101-4307

Phone

(806) 372-8731

Fax

(806) 372-8746

NPI assigned

May 24, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609821743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 S TAYLOR ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791014307",
            "telephone_number": "806-372-8731",
            "fax_number": "806-372-8746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 S TAYLOR ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791014307",
            "telephone_number": "806-372-8731",
            "fax_number": "806-372-8746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRADDOCK",
        "first_name": "ALISA",
        "name_prefix": "Mrs.",
        "credential": "WHC-NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "516437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "153890-20",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Molly Cox, M.S. CCC-SLP, MT-BC
• R H Cox, MD
• Sammy Lane Cox, M.D.
• Stacy Cox
• Robert N Crabtree, M.D.
• Amber Crafton, MS, CCC-SLP
• Craig Amarillo, LLC
• Jordan Michelle Craig, PT, DPT
• Lillian H Craig, RN,FNP-C
• Ashlee Kay Crawford, PT, DPT

• Women's Health Nurse Practitioner in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Women's Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.