DR. CONNIE K CRAIG (NPI# 1073601068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073601068 |
| Entity Type | Individual |
| Full Name | DR. CONNIE K CRAIG |
| Credential | PHD. ARNP |
| Practice Address |
14929 Se Allen Rd Bellevue WA 98006-1639 |
| Mailing Address |
7460 W Mercer Way Mercer Island WA 98040-5537 |
| Practice Telephone | 4257462124 |
| Practice Fax Number | 4257462148 |
| Mailing Telephone | 2064067539 |
| Mailing Fax Number | 4257462148 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103TC0700X |
Psychologist Specialization: Clinical |
PY00003200 | WA | Behavioral Health & Social Service Providers |
| X | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP30004761 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730204389 | Connie N Craig | Social Worker | 852 Merrimon Ave, Asheville, NC 28804-2405 | 2007-03-20 |
| Street Address |
14929 SE ALLEN RD |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98006-1639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558575399 | Joseph Z Yousefian | Dentist | 14929 Se Allen Rd, Suite 202-a, Bellevue, WA 98006-1639 | 2007-05-10 |
| 1205989209 | Claudette Santivanez Antuna | Social Worker | 14929 Se Allen Rd, Suite 102a, Bellevue, WA 98006-1639 | 2007-01-21 |
| 1396801940 | Beverly Irene Underwood | Social Worker | 14929 Se Allen Rd, Suite 102a, Bellevue, WA 98006-1639 | 2006-12-28 |
| 1396840427 | Clark Tilton Ballard Jr. | Psychiatry & Neurology | 14929 Se Allen Rd, Suite 103a, Bellevue, WA 98006-1639 | 2006-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033602628 | Junmei Jin | Acupuncturist | 4317 Factoria Blvd Se Ste C, Bellevue, WA 98006 | 2018-06-08 |
| 1144733106 | Justin J Ho | Physical Therapist | 12917 Se 38th St Ste 208, Bellevue, WA 98006 | 2017-11-13 |
| 1932507191 | & Foot Specialists of Puget Sound, Ps | Podiatrist | 4140 Factoria Blvd Se Suite 1b, Bellevue, WA 98006 | 2014-12-19 |
| 1437556347 | Hilla Asadi | Naturopath | 12600 Se 38th St. #130, Bellevue, WA 98006 | 2014-11-21 |
| 1023433141 | Lori Anne Price | Speech-Language Pathologist | 12 Lummi Key, Bellevue, WA 98006 | 2014-02-26 |
| 1841628344 | Cohen, Manavi & Pakrvan Inc | Dentist | 3630a Factoria Blvd Se, Bellevue, WA 98006 | 2013-10-17 |
| 1740617836 | Kathleen L Carter | Massage Therapist | 5446 119th Ave Se #d, Bellevue, WA 98006 | 2013-10-03 |
| 1790037547 | Mellissa Ann Ilgen | Dentist | 4100 Factoria Blvd. Se, Suite C, Bellevue, WA 98006 | 2012-10-03 |
| 1982994364 | Hero House | Community/Behavioral Health | 12838 Se 40th Pl, Bellevue, WA 98006 | 2011-04-19 |
| 1356657738 | Lilia Schastlivaya | Massage Therapist | 13210 Se Newport Way, K201, Bellevue, WA 98006 | 2010-08-24 |
| Find all providers in zip 98006 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568836088 | Max Shannon | Psychologist | 6637 114th Ave Se, Bellevue, WA 98006-6433 | 2015-11-20 |
| 1801228960 | Shira Olsen | Psychologist | 2370 130th Ave Ne Ste 104, Bellevue, WA 98005-1770 | 2013-07-31 |
| 1588002646 | James A Chidester II | Psychologist | 1720 130th Ave Ne Ste 149, Bellevue, WA 98005-2272 | 2013-06-11 |
| 1437421278 | Jessica B Misner | Psychologist | 1800 112th Ave Ne Suite 301e, Bellevue, WA 98004 | 2012-02-08 |
| 1104103423 | Oscar Joseph Benitez | Psychologist | 1601 114th Ave Se Ste 100, Bellevue, WA 98004-6904 | 2011-11-15 |
| 1003115429 | Daniel Stephen Benveniste | Psychologist | 1450 114th Ave Se Ste 105, Bellevue, WA 98004-6934 | 2011-03-24 |
| 1962720177 | Blakely J Werner | Psychologist | 930 170th Pl Se, Bellevue, WA 98008-5237 | 2010-05-12 |
| 1356674402 | Masaki Mark Yamada | Psychologist | 1400 112th Ave Se Ste 204, Bellevue, WA 98004-6901 | 2009-09-08 |
| 1699936948 | O'neill Psychological Services Inc | Psychologist | 365 118th Ave Se Suite 118, Bellevue, WA 98005 | 2008-06-19 |
| 1720270036 | Cynthia Ann Mason | Psychologist | 1601 114th Ave Se Ste 145, Bellevue, WA 98004-6904 | 2007-08-10 |
| Find all providers in BELLEVUE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.