TRISTAN ROBERT CRADY MD
NPI 1255953477
Student in an Organized Health Care Education/Training Program in Jacksonville, FL

Active since May 11, 2020
655 W. 8TH STREET, BOX C-90, JACKSONVILLE, FL 32209(904) 244-4230(904) 244-2116 Get Directions Write a Review

NPPES record last updated: April 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 2, 2023, May 11, 2020 (2 updates tracked since 2020).

About Tristan Robert Crady Md NPPES

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

TRISTAN ROBERT CRADY MD (NPI 1255953477) is an individual student in an organized health care education/training program in Jacksonville, Florida and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1255953477
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTRISTAN ROBERT CRADYCredential: MD
Location Address655 W. 8TH STREET, BOX C-90Jacksonville, FL 32209-6511
Mailing Address655 W. 8th Street, Box C-90Jacksonville, FL 32209-6511 · (904) 244-4230 · Fax (904) 244-2116
Fax(904) 244-2116
Sole ProprietorNo
Enumeration DateMay 11, 2020
Last NPPES UpdateApril 2, 20232 updates tracked since enumeration
NPPES CertifiedApril 2, 2023
NPI 1255953477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
655 W. 8TH STREET, BOX C-90, Jacksonville, FL 32209

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 Tristan Crady's NPI number?

The NPI number for Tristan Crady is 1255953477. It was assigned to this individual provider in the NPPES registry on May 11, 2020.

Where is Tristan Crady located?

Tristan Crady practices at 655 W. 8th Street, Box C-90, Jacksonville, FL 32209. The listed phone number is (904) 244-4230.

What is Tristan Crady's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Tristan Crady was last updated on April 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.