Individual provider Active NPI

Farah Gail Craig, PNP

  • Pediatric Nurse Practitioner
  • Seymour, IN
National Provider Identifier
1750587309
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
28149810A Issued in IN
Practice address
1171 W Tipton St Ste D
Seymour, IN 47274-2794
Phone
(812) 524-8780
Fax
(812) 524-8746
NPI assigned
Jun 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X NP.10034 OH
Pediatric Nurse Practitioner 363LP0200X 28149810A IN Primary

Addresses

Primary practice location

1171 W Tipton St Ste D
Seymour, IN 47274-2794

Mailing address

700 Childrens Dr
Columbus, OH 43205-2664
Phone (614) 722-4867

Other practice location 1

700 Childrens Dr
Columbus, OH 43205-2664
Phone (614) 722-4867

Other identifiers 2

IdentifierTypeStateIssuer
28149810AOtherININDIANA LICENSE
2829818MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address fcraig180805@direct.nortonhealthcare.org
FHIR URL https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200824001267 KY Practitioner - Nurse Practitioner 5496825457 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
28149810AINMDPediatric Nurse Practitioner
NP.10034OHMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Children'S Medical Group, LLC Pediatrics Current Accepting new patients
Norton Children'S Medical Group, LLC CurrentSince Apr 28, 2020 Accepting new patients
Norton Children'S Medical Group, LLC CurrentSince Apr 28, 2020 Accepting new patients
Community Medical Associates, Inc. Past Accepting new patients
Norton Childrens Medical Group, LLC Pediatrics Past Accepting new patients
Seymour Pediatrics, LLC Past Accepting new patients

Locations

913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212

530 S Jackson St
Louisville, KY 40202
Phone (502) 562-3000

4910 Chamberlain Ln
Louisville, KY 40241
Phone (502) 446-5000

200 Abraham Flexner Way
Louisville, KY 40202
Phone (502) 569-7983

231 E Chestnut St
Louisville, KY 40202
Phone (502) 852-8500

411 E Chestnut St
#5A
Louisville, KY 40202
Phone (502) 588-2349

601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670

1 Audubon Plaza Dr
Louisville, KY 40217
Phone (502) 634-6767

411 E Chestnut St
Fl 5A
Louisville, KY 40202

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

4000 Kresge Way
St Matthews, KY 40207
Phone (502) 459-7902

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1750587309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 CHILDRENS DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432052664",
            "telephone_number": "614-722-4867",
            "fax_number": "614-722-4380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1171 W TIPTON ST STE D",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472742794",
            "telephone_number": "812-524-8780",
            "fax_number": "812-524-8746"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Childrens Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432052664",
            "country_code": "US",
            "telephone_number": "614-722-4867",
            "fax_number": "614-722-4380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "FARAH",
        "middle_name": "GAIL",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-21",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OH",
            "license": "NP.10034",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IN",
            "license": "28149810A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA LICENSE",
            "identifier": "28149810A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2829818",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fcraig180805@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "411 E Chestnut St # 5A",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402021713",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "411 E Chestnut St # 5A",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402021713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Seymour, IN

Sources for this page

Verify at the official NPI Registry.