Shannon Craft
Nurse Practitioner, Psych/Mental Health in Portsmouth, RI. Individual provider (NPI-1).
NPI number1174875132
StatusActive
Last updated in NPPESMar 27, 2023
Details
- NPI
- 1174875132
- Entity type
- Individual (NPI-1)
- Name
- Shannon Craft
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 15, 2012
- Certification date
- Mar 27, 2023
- Last updated
- Mar 27, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | APRN02272 | RI | Yes |
| 163W00000X | Registered Nurse | RN2269687 | MA |
Practice location
107 Clock Tower SqPortsmouth, RI 02871-1396
Phone 401-293-5930 · Fax 401-293-0097
Mailing address
107 Clock Tower SqPortsmouth, RI 02871-1396
Phone 401-293-5930
Other practice locations
874 Purchase St
New Bedford, MA 02740-6232
New Bedford, MA 02740-6232
Phone 508-992-6553 · Fax 508-990-7558
200 Mill Rd
Fairhaven, MA 02719-5252
Fairhaven, MA 02719-5252
Phone 508-973-3200
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Psychiatric/Mental Health Nurse Practitioner providers in Portsmouth, RI
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