Traci Craig, PNP-BC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

AP129199 Issued in TX

Practice address

345 Stone Ave
Paris, TX 75460-9309

Phone

(903) 280-7716

NPI assigned

Sep 21, 2015

Last updated

Sep 7, 2023By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: traci.craig.1@19608.direct.athenahealth.com
• Direct secure messaging: traci.craig@direct.myteamcare.com

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

{
    "created_epoch": "1442793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1720457609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 STONE AVE",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754602091",
            "telephone_number": "903-280-7716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 STONE AVE",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754609309",
            "telephone_number": "903-280-7716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "TRACI",
        "credential": "PNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-21",
        "last_updated": "2023-09-07",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "763673",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "AP129199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720457609",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Candace Lynn Coston
• Wayne Neal Coston, RPH
• Counseling Professionals of Northeast Texas
• Kimberly Nicole Cox, PNP
• Eloise A Craig
• Tabitha Crane, BSN,RN
• Elwyn Lee Crawford, D.D.S.
• Meghan Creath, MSN, APRN, FNP-C
• Critical Provisions, Inc
• Angela J Cronce, CCC-SLP

• Pediatric Nurse Practitioner in Paris, TX
• Providers in Paris, TX by specialty
• Pediatric Nurse Practitioner in Texas

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

Verify at the official NPI Registry.