Active NPI
Therese M. Craig, CRNP-A
- Adult Health Nurse Practitioner
- Baltimore, MD
National Provider Identifier
1710987524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- R086529
- Practice address
- 98 N Broadway Ste 421
Occupational Health Services, JHH
Baltimore, MD 21231-1539 - Phone
- (410) 955-6211
- Fax
- (410) 955-1617
- NPI assigned
- Jul 22, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | R086529 | MD | Primary |
Addresses
Primary practice location
98 N Broadway Ste 421
Occupational Health Services, JHH
Baltimore, MD 21231-1539
Mailing address
1305 Blakewood CT
Dundalk, MD 21222-2868
Phone (410) 477-1742
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N41115 | Other | MD | CDS REG. NO. |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R086529 | MD | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1710987524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1305 BLAKEWOOD CT",
"city": "DUNDALK",
"state": "MD",
"postal_code": "212222868",
"telephone_number": "410-477-1742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "98 N BROADWAY STE 421",
"address_2": "OCCUPATIONAL HEALTH SERVICES, JHH",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212311539",
"telephone_number": "410-955-6211",
"fax_number": "410-955-1617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAIG",
"first_name": "THERESE",
"middle_name": "M.",
"credential": "CRNP-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-22",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MD",
"license": "R086529",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDS REG. NO.",
"identifier": "N41115",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.