Active NPI
Monica L Craig NP-C LLC
- Nurse Practitioner
- Lake City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- MONICA L CRAIG NP-C LLC
- Practice address
- 137 SE Craig Ave
Lake City, FL 32025-4968 - Phone
- (386) 247-0572
- Fax
- (286) 287-6525
- NPI assigned
- Oct 8, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Monica Craig
- Title
- Owner
- Phone
- (386) 247-0572
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
137 SE Craig Ave
Lake City, FL 32025-4968
Mailing address
137 SE Craig Ave
Lake City, FL 32025-4968
Phone (386) 247-0572
Other names 1
- Integrative Direct Primary Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2283296 | Monica L Craig NP-C LLC | Certificate of waiver | Jun 5, 2027 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Monica L Craig NP-C LLC | Blood Glucose Monitors/Supplies (Mail Order)|Negative Pressure Wound Therapy Pumps/Supplies|Surgical Dressings|Diabetic Shoes and Inserts|Lymphedema Compression Treatment Items | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
137 SE Craig Ave
Lake City, FL 32025
Phone (386) 247-0572
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Lake City, FL
- NPI 1275139982
-
- Clinical Social Worker
- Lake City, FL
- NPI 1679935126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728345600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728345600000",
"number": "1760201693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "137 SE CRAIG AVE",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "320254968",
"telephone_number": "386-247-0572",
"fax_number": "286-287-6525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "137 SE CRAIG AVE",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "320254968",
"telephone_number": "386-247-0572",
"fax_number": "286-287-6525"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MONICA L CRAIG NP-C LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-08",
"last_updated": "2024-10-08",
"certification_date": "2024-10-04",
"status": "A",
"authorized_official_last_name": "CRAIG",
"authorized_official_first_name": "MONICA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "386-247-0572"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Integrative Direct Primary Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lake City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.