Individual provider Active NPI

Brianna Cravero, CRNP, FNP-C

  • Family Nurse Practitioner
  • Port Deposit, MD
National Provider Identifier
1720802473
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R264390 Issued in MD
Practice address
20 Craigtown Rd Ste 101
Port Deposit, MD 21904-1801
Phone
(410) 642-9172
NPI assigned
Nov 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP029921 PA
Family Nurse Practitioner 363LF0000X R264390 MD Primary

Addresses

Primary practice location

20 Craigtown Rd Ste 101
Port Deposit, MD 21904-1801

Mailing address

1590 Daws Rd
Blue Bell, PA 19422-3607

Other names 1

  • Brianna Cravero del Collo Former name

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

State licenses

LicenseStateTypeSpecialty
R264390MDMDFamily Nurse Practitioner
SP029921PAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1731283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1720802473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1590 DAWS RD",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194223607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CRAIGTOWN RD STE 101",
            "city": "PORT DEPOSIT",
            "state": "MD",
            "postal_code": "219041801",
            "telephone_number": "410-642-9172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAVERO",
        "first_name": "BRIANNA",
        "credential": "CRNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-11",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP029921",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R264390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIANNA",
            "last_name": "CRAVERO DEL COLLO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Port Deposit, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; 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.