Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1194436790 Individual Practitioner Female Practitioner

Mary Craddock

Licensed Practical Nurse • Tyler, TX

Professional Overview & Biography Verified Profile Summary

Mary Craddock is a registered healthcare professional specializing in Licensed Practical Nurse in Tyler, TX. Practice services are available at 9846 HWY 31 E under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9846 Hwy 31 E

Tyler, TX 757052329

Telephone 9035253995
Fax 9035253858
Associated Practice Facility / Clinic
🏢 Tcg Clinic, Llc Facility NPI 1164790572

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Tyler, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
17 Specialists

Practicing in Tyler, TX (727 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: 2022-12-06
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License TX 165013

An individual 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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Ashia Perez

Speech-Language Pathologist

NPI 1003457961
Heather Sherman

Licensed Vocational Nurse

NPI 1013554419
Kelli Hoke

Licensed Vocational Nurse

NPI 1013560226
Lora Keating-Rosell

Registered Nurse

NPI 1013569805
Katie Gresham

Licensed Vocational Nurse

NPI 1023670635
Nicole Green

Registered Nurse

NPI 1043920234

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 06, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location December 06, 2022

Registered at 9846 HWY 31 E, TYLER, TX 757052329 (Tel: 9035253995)

📍
Updated Business Mailing Address December 06, 2022

Registered at 9846 HWY 31 E, TYLER, TX 757052329 (Tel: 9035253995)

👤
Provider Name / Credentials Updated December 06, 2022

Recorded as MARY CRADDOCK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 06, 2022

Licensed Practical Nurse (License #165013 in TX)

🟢
Initial NPI Registration & Enumeration December 06, 2022

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: 1194436790
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 06, 2022
Last Update: December 06, 2022
Sole Proprietor: No

Mailing Address

9846 Hwy 31 E

Tyler, TX 757052329

Phone: 9035253995

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.