Lynellen C Craig, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

612690 Issued in TX

Practice address

7100 Oakmont Blvd
Ste 207
Fort Worth, TX 76132-3900

Phone

(817) 370-5950

Fax

(817) 370-5953

NPI assigned

Mar 16, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831213966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4504 BOAT CLUB RD",
            "address_2": "STE 800",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761357003",
            "telephone_number": "817-237-4794",
            "fax_number": "817-237-4880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 OAKMONT BLVD",
            "address_2": "STE 207",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761323900",
            "telephone_number": "817-370-5950",
            "fax_number": "817-370-5953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "LYNELLEN",
        "middle_name": "C",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "612690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "612690",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benjamin Craig, PA-C
• Brittne Craig, CPNP-AC
• Georgia Craig
• Heather Craig, CPNP
• Joshua Craig, LPC
• Susan Craig, FAMILY NURSE PRACTIT
• Joe Howard Crain, D.D.S., M.S.
• Crandall City Market Inc
• Benjamin Merrick Crandall, DO
• Pege R Crane, CPNP

• Registered Nurse in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Registered Nurse in Texas

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