Individual provider Active NPI

Jeanette Olivia Craven

  • Pediatric Nurse Practitioner
  • Huntsville, AL
National Provider Identifier
1750914065
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
1-173715 Issued in AL
Practice address
635 Discovery Dr NW
Huntsville, AL 35806-2801
Phone
(256) 428-7560
Fax
(256) 428-7561
NPI assigned
Feb 14, 2020
Last updated
Sep 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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 1-173715 AL Primary
Registered Nurse 163W00000X 1-173715 AL

Addresses

Primary practice location

635 Discovery Dr NW
Huntsville, AL 35806-2801

Mailing address

635 Discovery Dr NW
Huntsville, AL 35806-2801
Phone (256) 428-7560

Other practice location 1

3112 Meridian St N
Huntsville, AL 35811-1539
Phone (256) 428-7110

Other practice location 2

4801 Bob Wallace Ave SW
Huntsville, AL 35805-3308
Phone (256) 428-7488

Other practice location 3

2755 Wilson Dr NW
Huntsville, AL 35816-3949
Phone (256) 428-7428

Other practice location 4

11588 Pulaski Pike
Toney, AL 35773-9381
Phone (256) 693-1006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20221012001879 AL Practitioner - Nurse Practitioner 6305212671 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-173715ALMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Happi Health CurrentSince Jun 7, 2022 Accepting new patients
Happi Health CurrentSince Jun 7, 2022 Accepting new patients
Heals Inc CurrentSince May 30, 2026 Accepting new patients

Locations

515 Sparkman Dr NW
Huntsville, AL 35816
Phone (256) 428-7560

635 Discovery Dr NW
Huntsville, AL 35806

807 Franklin St SE
Huntsville, AL 35801
Phone (256) 333-3044

813 Franklin St SE
Huntsville, AL 35801
Phone (256) 519-3650

Interoperability endpoints

  • Direct secure messaging: jeanette.craven.1@23004.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1581638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1750914065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 DISCOVERY DR NW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358062801",
            "telephone_number": "256-428-7560",
            "fax_number": "256-428-7561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 DISCOVERY DR NW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358062801",
            "telephone_number": "256-428-7560",
            "fax_number": "256-428-7561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3112 Meridian St N",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358111539",
            "country_code": "US",
            "telephone_number": "256-428-7110",
            "fax_number": "256-428-7561",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4801 Bob Wallace Ave SW",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358053308",
            "country_code": "US",
            "telephone_number": "256-428-7488",
            "fax_number": "256-428-7561",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2755 Wilson Dr NW",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358163949",
            "country_code": "US",
            "telephone_number": "256-428-7428",
            "fax_number": "256-428-7561",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11588 Pulaski Pike",
            "address_purpose": "LOCATION",
            "city": "Toney",
            "state": "AL",
            "postal_code": "357739381",
            "country_code": "US",
            "telephone_number": "256-693-1006",
            "fax_number": "256-428-7561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAVEN",
        "first_name": "JEANETTE",
        "middle_name": "OLIVIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-14",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AL",
            "license": "1-173715",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-173715",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.