Melanie J Craddock, RN, CDCES

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

75952 Issued in HI

Practice address

95 Mahalani Street RM 28-4
Wailuku, HI 96793-9217

Phone

(808) 867-0623

NPI assigned

Jun 20, 2012

Last updated

Feb 5, 2025By the provider in NPPES

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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

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.

• Maui Pharmacy Solutions LLC

  dba Mauliola Pharmacy

  • Long Term Care Pharmacy
  • Wailuku, HI
  • NPI 1477206431
  NPD

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

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1821351214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1639",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967531639",
            "telephone_number": "808-868-8968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 MAHALANI STREET RM 28-4",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967939217",
            "telephone_number": "808-867-0623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRADDOCK",
        "first_name": "MELANIE",
        "middle_name": "J",
        "credential": "RN, CDCES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-20",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "HI",
            "license": "75952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "26831",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "75952",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICATION BOARD FOR DIABETES CARE AND EDUCATION",
            "identifier": "32305624",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Cosner
• Cynthia Cote
• Marcie Lee Courter, PSY.D.
• Laura Covey, LMT MMP
• Samantha Cox, PA-C
• Margot J. Crandall, MD
• Summer Dawn Cretton, MFT-P
• Rebecca L Cronk
• Kerry G Crosby, FNP
• David S. Crow, M.D.

• Diabetes Educator Registered Nurse in Wailuku, HI
• Providers in Wailuku, HI by specialty
• Diabetes Educator Registered Nurse in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.