KRISTIE J CRADDOCK


Address: 2600 Greenbush St, Lafayette, IN 47904-2477
Phone: 7654488000

KRISTIE J CRADDOCK (NPI# 1790269694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790269694
Entity Type Individual
Full Name KRISTIE J CRADDOCK
Credential CRNA
Practice Address 2600 Greenbush St
Lafayette
IN 47904-2477
Mailing Address Po Box 5545
Lafayette
IN 47903-5545
Practice Telephone 7654488000
Mailing Telephone 7654488000
Enumeration Date 2018-09-18
Last Update Date 2018-09-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered 28184695A IN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2600 GREENBUSH ST
City LAFAYETTE
State IN
Zip Code 47904-2477

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922007996 Rama Marepally Internal Medicine 2600 Greenbush St, Lafayette, IN 47904-2477 2005-07-20
1861039547 Carly J Yoder Audiologist 2600 Greenbush St, Lafayette, IN 47904-2477 2019-12-02
1306488978 Jana Suzanne Doyle Registered Nurse 2600 Greenbush St, Lafayette, IN 47904-2477 2019-10-15
1053968024 Julie J Debord Nurse Practitioner 2600 Greenbush St, Lafayette, IN 47904-2477 2019-08-23
1679120653 Renee L Weathington Registered Nurse 2600 Greenbush St, Lafayette, IN 47904-2477 2019-08-23
1265086565 Emily L Newlin Nurse Practitioner 2600 Greenbush St, Lafayette, IN 47904-2477 2019-07-25
1720555402 Carrie Ann Anderson Dietitian, Registered 2600 Greenbush St, Lafayette, IN 47904-2477 2018-10-31
1306320270 Britney D Craddock Nurse Anesthetist, Certified Registered 2600 Greenbush St, Lafayette, IN 47904-2477 2018-09-18
1174048797 Laura A Kilmer Registered Nurse 2600 Greenbush St, Lafayette, IN 47904-2477 2017-08-04
1912427188 Shannon Bormann Nurse Anesthetist, Certified Registered 2600 Greenbush St, Lafayette, IN 47904-2477 2017-06-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568998615 Angela Hands Physical Therapy Assistant 1260 North 17th Street, Lafayette, IN 47904 2017-05-11
1366894164 Kathryn Barnett Behavioral Analyst 2785 Cason St # 2, Lafayette, IN 47904 2016-07-06
1881972917 Rest Assured, LLC Durable Medical Equipment & Medical Supplies 180 Professional Ct., Lafayette, IN 47904 2011-07-22
1144514233 Michelle Cristin Singleton Dietitian, Registered 508 N 26th St, Lafayette, IN 47904 2011-06-06
1912134438 Jean D Trammel Marriage & Family Therapist 2000 Greenburg St, Bldg B, Suite A, Lafayette, IN 47904 2009-06-11
1902946056 Terry Richard Baker Optometrist 2300 Sagamore Parkway S, Lafayette, IN 47904 2007-02-07
1891862165 Becki A Bowditch Inc Social Worker 2201 Ferry Street, Lafayette, IN 47904 2006-11-29
1326121849 James Lowell Thomas Pediatrics 2300 Ferry St, Lafayette, IN 47904 2006-10-21
1700976719 Michael Leonard Bagnoli Dentist 2020 Union Street, Suite 200, Lafayette, IN 47904 2006-10-13
1255428801 Lynn Arlen Pestle Dentist 2550 Elmwood Avenue, Lafayette, IN 47904 2006-10-06
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Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619408192 Vannasinh Panyanouvong Nurse Anesthetist, Certified Registered 107 Young Oak Dr, Lafayette, LA 70507-3205 2017-03-25
1427473230 Mary Alden Fontenot Nurse Anesthetist, Certified Registered 1103 Kaliste Saloom Rd., Suite 304, Lafayette, LA 70508 2014-03-03
1134369374 Trish Howell Guillot Nurse Anesthetist, Certified Registered 112 Cherry Bark Ln, Lafayette, LA 70508-8146 2009-02-28
1487806519 Belinda Katherine Russo Nurse Anesthetist, Certified Registered 118 Karolwood Dr, Lafayette, LA 70503-3505 2008-10-21
1972644979 Rex Lee Meeker Nurse Anesthetist, Certified Registered 11375 Jasper Rd, Lafayette, CO 80026-9627 2007-02-11
1710909445 August J Rantz IIi Nurse Anesthetist, Certified Registered 1101 S College, Ste 100, Lafayette, LA 70503 2006-07-24
1861429540 Patricia J. Farkas Nurse Anesthetist, Certified Registered 309 Asbury Rd, Lafayette, LA 70503-3637 2006-06-27
1750332391 Jeremy Joseph Boyer Nurse Anesthetist, Certified Registered 305 Ambergris Ln, Lafayette, LA 70508-8152 2006-05-15
1427014331 Stephanie Lynn Preston Nurse Anesthetist, Certified Registered 811 S 9th St, Lafayette, IN 47905-5545 2006-04-21
1780655274 James M Reynolds Nurse Anesthetist, Certified Registered 4630 Ambassador Caffery Pkwy Ste 101, Lafayette, LA 70508-6949 2006-01-31
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Competitor

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City LAFAYETTE
Zip Code 47904

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Dataset Information

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.

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