What is Mary Craddock's NPI number?

Mary Craddock's National Provider Identifier (NPI) is 1194436790, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Mary Craddock's specialty?

Mary Craddock is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).

Where is Mary Craddock located?

Mary Craddock's practice location on file with NPPES is 9846 Hwy 31 E, Tyler, TX 75705-2329.

What is Mary Craddock's phone number?

The practice phone number listed in the NPPES registry for Mary Craddock is (903) 525-3995.

Is Mary Craddock's NPI active?

Yes — Mary Craddock's NPI (1194436790) is active in the NPPES registry as of the last update on 2022-12-06.

IndividualActive

Mary Craddock

NPI 1194436790 · Licensed Practical Nurse · Tyler, TX

Mary Craddock is a Licensed Practical Nurse provider in Tyler, TX (NPI 1194436790).

Provider details

NPI number: 1194436790
Entity type: Individual
Primary specialty: Licensed Practical NurseNursing Service Providers
Sex: Female
Sole proprietor: No
License: 165013 (TX)

Specialties & taxonomies

Licensed Practical NursePrimary164W00000XLicense 165013 (TX)
Nursing Service Providers

Profile Score

Established profile(59/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
3 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

9846 Hwy 31 E

Tyler, TX 75705-2329

Phone: (903) 525-3995

Fax: (903) 525-3858

Street-level locationGet directions

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Mailing address