1. Home
  2. Directory
  3. Mississippi
  4. Columbus
  5. Technician
  6. NPI Profile

ANGIE CRADDIETH
NPI 1063138931
Technician - Personal Care Attendant in Columbus, MS

Active since October 12, 2022
2240 MILITARY RD STE 3, COLUMBUS, MS 39705(662) 364-1058 Get Directions Write a Review

NPPES record last updated: November 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 13, 2024, Oct 12, 2022 (2 updates tracked since 2022).

About Angie Craddieth NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGIE CRADDIETH (NPI 1063138931) is an individual personal care attendant in Columbus, Mississippi and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1063138931
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameANGIE CRADDIETH
Location Address2240 MILITARY RD STE 3Columbus, MS 39705-2456
Mailing Address2240 Military Rd Ste 3Columbus, MS 39705-2456 · (662) 798-0757 · Fax (662) 570-1450
Phone(662) 364-1058
Sole ProprietorYes
Enumeration DateOctober 12, 2022
Last NPPES UpdateNovember 13, 20242 updates tracked since enumeration
NPPES CertifiedNovember 13, 2024
✔ NPI 1063138931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
Also ListedIn Home Supportive CareTaxonomy 253Z00000X
2240 MILITARY RD STE 3, Columbus, MS 39705
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angie Craddieth's NPI number?

The NPI number for Angie Craddieth is 1063138931. It was assigned to this individual provider in the NPPES registry on October 12, 2022.

Where is Angie Craddieth located?

Angie Craddieth practices at 2240 Military Rd Ste 3, Columbus, MS 39705. The listed phone number is (662) 364-1058.

What is Angie Craddieth's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Angie Craddieth was last updated on November 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.