Emmajean McCreadie, NP

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

RN209322 Issued in CA

Practice address

2005 Wilshire Blvd
Los Angeles
Los Angeles, CA 90057-3503

Phone

(213) 413-2700

Fax

(213) 413-6722

NPI assigned

Jan 31, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1811034507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 WILSHIRE BLVD",
            "address_2": "SUITE 227",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900573506",
            "telephone_number": "213-413-2700",
            "fax_number": "213-413-6722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 WILSHIRE BLVD",
            "address_2": "LOS ANGELES",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900573503",
            "telephone_number": "213-413-2700",
            "fax_number": "213-413-6722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCREADIE",
        "first_name": "EMMAJEAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "CA",
            "license": "RN209322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP LICENSE",
            "identifier": "NP2136",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RN209322",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Candice Marie McCray, LCSW
• Kellie Ann McCray, LCSW
• Nikai Vallen McCray
• Ronald E McCray
• Tiffany McCray
• Charles Patrick McCreary, PH.D.
• Colette Angela McCreary, LMFT
• Vicki Lynne McCree, RPT
• Chanel McCreedy, DDS
• Colin Matthew McCrimmon

• Obstetrics & Gynecology Nurse Practitioner in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Obstetrics & Gynecology Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.