MRS. ALISA CRADDOCK WHC-NP
NPI 1609821743
Nurse Practitioner - Women's Health in Amarillo, TX

Active since May 24, 2006
1501 S TAYLOR ST, AMARILLO, TX 79101(806) 372-8731(806) 372-8746 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Alisa Craddock Whc-np NPPES

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

MRS. ALISA CRADDOCK WHC-NP (NPI 1609821743) is an individual women's health provider in Amarillo, Texas, licensed in Texas (516437) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1609821743
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameMRS. ALISA CRADDOCKCredential: WHC-NP
Location Address1501 S TAYLOR STAmarillo, TX 79101-4307
Mailing Address1501 S Taylor StAmarillo, TX 79101-4307 · (806) 372-8731 · Fax (806) 372-8746
Fax(806) 372-8746
Sole ProprietorNo
Enumeration DateMay 24, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1609821743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License Licensed in TX · 516437
1501 S TAYLOR ST, Amarillo, TX 79101

Other Identifiers 1

Medicaid153890-20TX

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
1501 S TAYLOR ST
AMARILLO, TX 79101
Clinic/Center (Ambulatory Family Planning Facility)
1501 S TAYLOR ST, C/O TEXAS PANHANDLE FAMILY PLANNING AND HEALTH CENTERS
AMARILLO, TX 79101
Nurse Practitioner (Women's Health)
1501 S TAYLOR ST
AMARILLO, TX 79101

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 Alisa Craddock's NPI number?

The NPI number for Alisa Craddock is 1609821743. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Where is Alisa Craddock located?

Alisa Craddock practices at 1501 S Taylor St, Amarillo, TX 79101. The listed phone number is (806) 372-8731.

What is Alisa Craddock's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

When was this NPI record last updated?

The NPPES record for Alisa Craddock was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.