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KELLY-ANN P CRADDOCK
NPI 1790057925
Licensed Practical Nurse in Bronx, NY

Active since February 03, 2012
260 E 161ST ST, BRONX, NY 10451(718) 993-3397 Get Directions Write a Review

NPPES record last updated: February 3, 2012. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Kelly-ann P Craddock NPPES

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

KELLY-ANN P CRADDOCK (NPI 1790057925) is an individual licensed practical nurse in Bronx, New York, licensed in New York (286516-1) and active in the NPI registry since February 2012.

NPPES Registry Identity

NPI1790057925
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameKELLY-ANN P CRADDOCK
Location Address260 E 161ST STBronx, NY 10451-3512
Mailing Address260 E 161st StBronx, NY 10451-3512 · (718) 993-3397
Phone(718) 993-3397
Sole ProprietorNo
Enumeration DateFebruary 3, 2012
✔ NPI 1790057925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 286516-1
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
260 E 161ST ST, Bronx, NY 10451
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Other Providers at the Same Location NPPES 20

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

MONTEFIORE MEDICAL CENTER
Rehabilitation, Substance Use Disorder Unit
260 E 161ST ST
BRONX, NY 10451
Bronx County (718) 920-4321
MS. MALIKAH MARIE CONSTANTINE CRC
Counselor (Addiction (Substance Use Disorder))
260 E 161ST ST
BRONX, NY 10451
Bronx County (718) 993-3397
MS. OLGUIE ROBLES-TORO CASAC
Counselor (Addiction (Substance Use Disorder))
260 E 161ST ST
BRONX, NY 10451
Bronx County (718) 993-3397
TIA LEE MA
Counselor (Addiction (Substance Use Disorder))
260 E 161ST ST
BRONX, NY 10451
Bronx County (718) 993-3397
HAROLD BEARD MS
Counselor (Addiction (Substance Use Disorder))
260 E 161ST ST
BRONX, NY 10451
Bronx County (718) 993-3397
CHERYL DIODATO
Counselor (Addiction (Substance Use Disorder))
260 E 161ST ST
BRONX, NY 10451
Bronx County (718) 292-2266
PAUL THOMAS GANDOSSY MSW
Counselor
260 E 161ST ST
BRONX, NY 10451
Bronx County (718) 292-6622
NEXT STEPS SOUTH
Counselor (Addiction (Substance Use Disorder))
260 E 161ST ST
BRONX, NY 10451
Bronx County (718) 993-3397

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 Kelly-ann Craddock's NPI number?

The NPI number for Kelly-ann Craddock is 1790057925. It was assigned to this individual provider in the NPPES registry on February 3, 2012.

Where is Kelly-ann Craddock located?

Kelly-ann Craddock practices at 260 E 161st St, Bronx, NY 10451. The listed phone number is (718) 993-3397.

What is Kelly-ann Craddock's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Kelly-ann Craddock was last updated on February 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.