Active NPI 1720457609 Individual Practitioner Female Practitioner

Traci Craig , PNP-BC

Nurse Practitioner - Pediatrics • Paris, TX

Professional Overview & Biography Verified Profile Summary

Traci Craig, PNP-BC is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Paris, TX. Practice services are available at 345 STONE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

345 Stone Ave

Paris, TX 754609309

Telephone 9032807716

Associated Practice Facility / Clinic

🏢 Kids Clinic Of Paris Llc Facility NPI 1710449566

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Paris, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 8.0 Yrs

Regional Practice Density

4 Specialists

Practicing in Paris, TX (2253 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-10-27

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License TX AP129199

Definition to come...

Nurse Practitioner - Pediatrics

NUCC Taxonomy Code: 363LP0200X

State License TX 763673

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1720457609 (TX)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Jillian Ross , NP

Nurse Practitioner - Family

NPI 1255227641

Nurse Practitioner

Lindsey Clark , APRN CPNP-PC

Nurse Practitioner - Pediatrics

NPI 1497415855

APRNCPNPPC

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

18 Historical Events

📍

Updated Practice Location September 07, 2023

Registered at 345 STONE AVE, PARIS, TX 754609309 (Tel: 9032807716)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 07, 2023

Nurse Practitioner (License #763673 in TX)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 27, 2021

Nurse Practitioner (License #AP129199 in TX)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2020

Nurse Practitioner (License #763673 in TX)

📍

Updated Practice Location June 21, 2019

Registered at 345 STONE AVE, PARIS, TX 754602091 (Tel: 9032807716)

📍

Updated Business Mailing Address June 21, 2019

Registered at 345 STONE AVE, PARIS, TX 754602091 (Tel: 9032807716)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 21, 2019

Nurse Practitioner (License #AP129199 in TX)

✅

NPI Profile Active January 24, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location January 24, 2017

Registered at 1317 N HILLCREST DR, SULPHUR SPRINGS, TX 754822091 (Tel: 9034381110)

📍

Updated Business Mailing Address January 24, 2017

Registered at 1317 N HILLCREST DR, SULPHUR SPRINGS, TX 754822091 (Tel: 9034381110)

👤

Provider Name / Credentials Updated January 24, 2017

Recorded as TRACI CRAIG, PNP-BC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2017

Nurse Practitioner (License #763673 in TX)

✅

NPI Profile Active September 21, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location September 21, 2015

Registered at 7501 QUAKER AVE, LUBBOCK, TX 794243367 (Tel: 8067883306)

📍

Updated Business Mailing Address September 21, 2015

Registered at 5219 CITY BANK PKWY, SUITE 35, LUBBOCK, TX 794073544

👤

Provider Name / Credentials Updated September 21, 2015

Recorded as TRACI CRAIG, PNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 21, 2015

Nurse Practitioner (License #763673 in TX)

🟢

Initial NPI Registration & Enumeration September 21, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720457609

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 21, 2015

Last Update: September 07, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

345 Stone Ave

Paris, TX 754602091

Phone: 9032807716

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.