Ava Brodie Craig, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

S0539 Issued in MS

Practice address

5955 Zeamer Ave
3MSGS/Sgcun
Elmendorf AFB, AK 99506-3702

Phone

(907) 580-5804

Fax

(907) 580-5520

NPI assigned

Jun 28, 2006

Last updated

Feb 17, 2009By 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

Other names 1

• Mrs. Ava B. Craig Professional name

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234828800000",
    "number": "1710915152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20634 MOUNTAINSIDE DR",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995778862",
            "telephone_number": "907-622-8217",
            "fax_number": "907-580-5520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5955 ZEAMER AVE",
            "address_2": "3MSGS/SGCUN",
            "city": "ELMENDORF AFB",
            "state": "AK",
            "postal_code": "995063702",
            "telephone_number": "907-580-5804",
            "fax_number": "907-580-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "AVA",
        "middle_name": "BRODIE",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2009-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S0539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AVA",
            "last_name": "CRAIG",
            "middle_name": "B.",
            "prefix": "MRS.",
            "credential": "CCC-SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jay Arthur Clemens, DO
• Darrell G Clement
• Audra Cochran, MD
• Jeremy Mark Combs, LCSW
• Ricky David Cook, DDS
• Joshuah Patrick Cummings
• Jorey Alan Cunico, DO
• Ashley Dalessandro, PA-C
• Adam H Dalgleish, CRNA
• Jodi L Danter, PHYSICIAN ASSISTANT

• Speech-Language Pathologist in Elmendorf AFB, AK
• Providers in Elmendorf AFB, AK by specialty
• Speech-Language Pathologist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; 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.