MRS. ALISA CRADDOCK (NPI# 1609821743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609821743 |
| Entity Type | Individual |
| Full Name | MRS. ALISA CRADDOCK |
| Credential | WHC-NP |
| Practice Address |
1501 S Taylor St Amarillo TX 79101-4307 |
| Practice Telephone | 8063728731 |
| Practice Fax Number | 8063728746 |
| Mailing Telephone | 8063728731 |
| Mailing Fax Number | 8063728746 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
516437 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 153890-20 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679895296 | Alisa Rochelle Craddock | Registered Nurse | 2250 Hobbton Hwy, Clinton, NC 28328-1772 | 2010-02-23 |
| Street Address |
1501 S TAYLOR ST |
| City | AMARILLO |
| State | TX |
| Zip Code | 79101-4307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427056019 | Leslie M Mcminn | Nurse Practitioner | 1501 S Taylor St, Amarillo, TX 79101-4307 | 2005-07-08 |
| 1407097892 | Womens Wellness Center | Clinic/Center | 1501 S Taylor St, Amarillo, TX 79101-4307 | 2009-03-13 |
| 1528236544 | Perryton Health Center | Clinic/Center | 1501 S Taylor St, C/o Texas Panhandle Family Planning and Health Centers, Amarillo, TX 79101-4307 | 2008-02-12 |
| 1700965795 | Carrie Shayne Lane | Nurse Practitioner | 1501 S Taylor St, Amarillo, TX 79101-4307 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659926590 | Amanda Gail Morgan | Nurse Practitioner | 1501 S. Polk Street, Amarillo, TX 79101 | 2019-08-07 |
| 1346659232 | Kara Sliney | Speech-Language Pathologist | 600 S. Tyler, Amarillo, TX 79101 | 2014-08-05 |
| 1417068214 | Rupert Barron Jr. | Dentist | 206 Ne 7th, Amarillo, TX 79101 | 2006-08-31 |
| 1962513150 | Elizabeth Hagen Smith | Counselor | 112 West 8th St, Suite 800, Amarillo, TX 79101 | 2006-08-31 |
| 1073538765 | Sandra Kay Tripp | Counselor | 112 W 8th, Suite 800, Amarillo, TX 79101 | 2006-07-13 |
| 1528042892 | Nurses Unlimited Inc | Home Health | 600 S Tyler St, Suite 804, Amarillo, TX 79101 | 2005-12-01 |
| 1881219079 | Here Not There Healthcare | Clinic/Center | 600 S Tyler St, Suite 2100 #105, Amarillo, TX 79101 | 2020-06-12 |
| 1841549029 | Lana Brianne Steinle | Speech-Language Pathologist | 112 Sw 8th Ave, Suite 301-3, Amarillo, TX 79101 | 2012-09-05 |
| 1174600282 | Emily Neece Wilson | Counselor | 112 W 8th, Suite 800, Amarillo, TX 79101 | 2006-11-01 |
| 1669565404 | Harold Olesen | Dentist | 206 Ne 7th, Amarillo, TX 79101 | 2006-10-02 |
| Find all providers in zip 79101 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659591857 | Nancy Jean Barr | Nurse Practitioner | Pantex Plant, Fm 2373 At Hwy 60, Amarillo, TX 79120 | 2007-04-27 |
| 1881070902 | Holly Johnson | Nurse Practitioner | 1 Medical Dr, Amarillo, TX 79106-4137 | 2015-07-31 |
| 1013294495 | Brenna Dawn Payne | Nurse Practitioner | 7620 Wallace Blvd, Amarillo, TX 79124-2154 | 2011-11-13 |
| 1437455128 | Heather Caia Bradshaw | Nurse Practitioner | 1900 S Coulter St, Suite B, Amarillo, TX 79106-1784 | 2011-01-28 |
| 1205039567 | Chad C Winchester | Nurse Practitioner | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2007-06-06 |
| 1700965795 | Carrie Shayne Lane | Nurse Practitioner | 1501 S Taylor St, Amarillo, TX 79101-4307 | 2006-11-02 |
| 1912939125 | Diana Parker | Nurse Practitioner | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942809074 | Christine Depardo | Nurse Practitioner | 6161 State Hwy 161 Fl 3, Irving, TX 75038-2220 | 2020-10-20 |
| 1457968232 | Brenda Lynn Franke | Nurse Practitioner | 1501 Creekside Dr, Richardson, TX 75081-2913 | 2020-09-25 |
| 1073127031 | Jennifer Barbosa | Nurse Practitioner | 6065 Sports Village Rd Ste 600, Frisco, TX 75033-3591 | 2020-09-06 |
| 1619594744 | Elm Midwifery and Womens Health LLC | Nurse Practitioner | 4458 Medical Dr Ste 470, San Antonio, TX 78229-3748 | 2020-07-06 |
| 1417571969 | Viviana S Navar | Nurse Practitioner | 1440 George Dieter Dr # A, El Paso, TX 79936-7601 | 2020-06-01 |
| 1457988461 | Sarah Elizabeth Higgins | Nurse Practitioner | 8060 Park Ln, Dallas, TX 75231-5912 | 2020-03-27 |
| 1235779760 | Tracy Woods | Nurse Practitioner | 5846 Piedmont Gln, San Antonio, TX 78249-4876 | 2020-01-13 |
| 1801436340 | Sarah Olivia Menotti | Nurse Practitioner | 3828 Hughes Ct Ste 104, Dickinson, TX 77539-6235 | 2020-01-13 |
| 1902457302 | Dalia Paul | Nurse Practitioner | Womankind Ob-gyn, 1200 Ridge Road, Suite 3, Mcallen, TX 78503 | 2019-09-26 |
| 1255982260 | Betty Philips | Nurse Practitioner | Womankind Ob-gyn, 1200 Ridge Rd, Suite 3, Mcallen, TX 78503 | 2019-09-23 |
| Find all providers with the same taxonomy | ||||
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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.