Individual provider Active NPI

Lillian H Craig, RN,FNP-C

  • Family Nurse Practitioner
  • Amarillo, TX
National Provider Identifier
1790963098
Registry record updated Feb 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
249699 Issued in TX
Practice address
3300 I-40 E
Suite 400
Amarillo, TX 79103-4801
Phone
(806) 331-8308
Fax
(806) 379-7661
NPI assigned
Feb 8, 2008
Last updated
Feb 8, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 249699 TX Primary

Addresses

Primary practice location

3300 I-40 E
Suite 400
Amarillo, TX 79103-4801

Mailing address

102 Bayshore Dr
Amarillo, TX 79118-4421
Phone (806) 622-9683

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
249699TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Act Physician Group, P.a. PastSince May 11, 2011 Accepting new patients

Organizations & group practices 1

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": "1202428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202428800000",
    "number": "1790963098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 BAYSHORE DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791184421",
            "telephone_number": "806-622-9683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 I-40 E",
            "address_2": "SUITE 400",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791034801",
            "telephone_number": "806-331-8308",
            "fax_number": "806-379-7661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "LILLIAN",
        "middle_name": "H",
        "credential": "RN,FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-08",
        "last_updated": "2008-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "249699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; 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.