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NATHAN NOEL CRADDUCK
NPI 1376373290
Peer Specialist in Tulsa, OK

Active since August 05, 2024
801 N MINGO RD TRLR 105, TULSA, OK 74116(657) 649-6455 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nathan Noel Cradduck NPPES

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

NATHAN NOEL CRADDUCK (NPI 1376373290) is an individual peer specialist in Tulsa, Oklahoma and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1376373290
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameNATHAN NOEL CRADDUCK
Location Address801 N MINGO RD TRLR 105Tulsa, OK 74116-5639
Mailing Address801 N Mingo Rd Trlr 105Tulsa, OK 74116-5639
Phone(657) 649-6455
Sole ProprietorYes
Enumeration DateAugust 5, 2024
NPPES CertifiedAugust 5, 2024
✔ NPI 1376373290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
801 N MINGO RD TRLR 105, Tulsa, OK 74116
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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 Nathan Cradduck's NPI number?

The NPI number for Nathan Cradduck is 1376373290. It was assigned to this individual provider in the NPPES registry on August 5, 2024.

Where is Nathan Cradduck located?

Nathan Cradduck practices at 801 N Mingo Rd Trlr 105, Tulsa, OK 74116. The listed phone number is (657) 649-6455.

What is Nathan Cradduck's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Nathan Cradduck was last updated on August 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.