MR. RICHARD ANDREW CRADDOCK (NPI# 1215536875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215536875 |
| Entity Type | Individual |
| Full Name | MR. RICHARD ANDREW CRADDOCK |
| Practice Address |
2745 Wild Pines Ln Apt 523 Naples FL 34112-4753 |
| Mailing Address |
Po Box 9873 Naples FL 34101-9873 |
| Practice Telephone | 2397035768 |
| Mailing Telephone | 2397035768 |
| Enumeration Date | 2020-10-23 |
| Last Update Date | 2020-10-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 90608 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467768804 | Richard W Craddock | Physician Assistant | 500 Poplar St, South Charleston, WV 25309-1474 | 2010-08-24 |
| 1003805854 | Richard G Craddock | Internal Medicine | 1201 Se Indian St, Stuart, FL 34997-5688 | 2005-10-14 |
| Street Address |
2745 WILD PINES LN APT 523 |
| City | NAPLES |
| State | FL |
| Zip Code | 34112-4753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548887508 | Warly Gonzalez Moreno | Nurse Practitioner | 6188 Parkers Hammock Rd, Naples, FL 34112 | 2020-06-25 |
| 1568944056 | Rx Care 10 LLC | Pharmacy | 3975 Tamiami Trail E, Naples, FL 34112 | 2018-08-31 |
| 1174030373 | Edward H Sharon | Dentist | 2355 Stanford Court, Unit 701, Naples, FL 34112 | 2018-01-09 |
| 1740708379 | Stephanie Eugene | Home Health Aide | 4101 Rose Ave Unit A, Naples, FL 34112 | 2017-09-04 |
| 1730624883 | Danielle Dora Byers | Nurse Practitioner | 4525 Thomasson Dr Ste 104, Naples, FL 34112 | 2016-12-28 |
| 1457787798 | Christine Claire Oswald | Counselor | 2500 Airport Pulling Rd, Suite 207, Naples, FL 34112 | 2013-09-18 |
| 1750628467 | Jennifer June Johnson | Pharmacist | 3350 Tamiami Trail E, Publix Pharmacy, Naples, FL 34112 | 2013-01-15 |
| 1306190384 | Leeann Dunnington | Nurse Practitioner | 4524 Thomasson Dr, Naples, FL 34112 | 2012-10-30 |
| 1124346945 | Gary Vaughn Burkholder | Dentist | 3301 Tamiami Trail East, Naples, FL 34112 | 2010-05-05 |
| 1912220559 | Mayquel Salgado | Massage Therapist | 2345 Stanford Ct Ste 603, Naples, FL 34112 | 2010-03-10 |
| Find all providers in zip 34112 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962886 | Felicia Warner | Massage Therapist | 2750 Cypress Trace Cir Apt 2620, Naples, FL 34119-8077 | 2020-11-03 |
| 1386251320 | Julia M. E. Smith | Massage Therapist | 144 Cypress Way E Unit 702, Naples, FL 34110-9232 | 2020-09-24 |
| 1811502834 | Yenier Jesus Marrero Gonzalez | Massage Therapist | 9125 Glenforest Dr, Naples, FL 34120-5345 | 2020-09-15 |
| 1902410228 | Gustavo Sebastian Bermudez | Massage Therapist | 2776 Clipper Way, Naples, FL 34104-3392 | 2020-09-03 |
| 1619581113 | Daniel Lopez | Massage Therapist | 3061 Sandpiper Bay Cir Apt J305, Naples, FL 34112-5502 | 2020-09-02 |
| 1760096440 | Eliza Chabior | Massage Therapist | 465 8th St N, Naples, FL 34102-5518 | 2020-09-01 |
| 1265082531 | Janice Decordova Rudeen | Massage Therapist | 278 Doe Rd, Naples, ID 83847 | 2019-09-18 |
| 1790259976 | Leimis Vazquez Milanes | Massage Therapist | 5274 Golden Gate Pkwy Ste 2, Naples, FL 34116-7641 | 2019-01-21 |
| 1730651464 | Andrew Rios | Massage Therapist | 2291 4th Ave Se, Naples, FL 34117-3735 | 2018-12-19 |
| 1336636661 | Nancy Gail Egan | Massage Therapist | 9853 Tamiami Trl N Ste 207, Naples, FL 34108-1995 | 2018-04-23 |
| Find all providers in NAPLES | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.