Active NPI
Cheyenne Craddock
- Homemaker
- Oak Hill, WV
National Provider Identifier
1952054892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- Practice address
- 1799 Main St E
Oak Hill, WV 25901-2341 - Phone
- (304) 465-0885
- Fax
- (304) 465-0886
- NPI assigned
- Feb 1, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | Primary |
Addresses
Primary practice location
1799 Main St E
Oak Hill, WV 25901-2341
Mailing address
151 Cove Dr Unit 7
Oak Hill, WV 25901-9444
Phone (443) 880-8367
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | craddockc17@gmail.com | Health Information Exchange (HIE) |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643673600000",
"number": "1952054892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 COVE DR UNIT 7",
"city": "OAK HILL",
"state": "WV",
"postal_code": "259019444",
"telephone_number": "443-880-8367",
"fax_number": "304-471-2488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1799 MAIN ST E",
"city": "OAK HILL",
"state": "WV",
"postal_code": "259012341",
"telephone_number": "304-465-0885",
"fax_number": "304-465-0886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRADDOCK",
"first_name": "CHEYENNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-01",
"last_updated": "2022-02-01",
"certification_date": "2022-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "craddockc17@gmail.com",
"affiliation": "N",
"endpointDescription": "EMAIL",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1799 Main St E",
"city": "Oak Hill",
"state": "WV",
"country_code": "US",
"postal_code": "259012341",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Oak Hill, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.