Craig A. Nivens, LMT

Primary specialty

SpecialistTaxonomy code 174400000X

License

8814 Issued in OH

Practice address

2431 W 26TH St
Erie, PA 16506-3220

Phone

(814) 504-3431

Fax

(814) 838-8702

NPI assigned

Jul 25, 2007

Last updated

Jul 25, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Craig A. Nivens Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185321600000",
    "number": "1780874966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2431 W 26TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165063220",
            "telephone_number": "814-504-3431",
            "fax_number": "814-838-8702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2431 W 26TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165063220",
            "telephone_number": "814-504-3431",
            "fax_number": "814-838-8702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIVENS",
        "first_name": "CRAIG",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-25",
        "last_updated": "2007-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "8814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRAIG",
            "last_name": "NIVENS",
            "middle_name": "A.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Specialist in Erie, PA
• Providers in Erie, PA by specialty
• Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; 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.