Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Latara K Craddock, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1942821152

Mrs. Latara K Craddock, FNP-BC is a Nurse Practitioner in Winston Salem, North Carolina. Qualified in 2019, 7 years ago. Practices with Osh Mi Physicians Group, PC, a 157-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
7
Licensed in
NC
In the registry since
2020
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

2668 Peters Creek Pkwy
Winston Salem, NC 27127-5655
Phone: (336) 200-7020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3080 Trenwest Dr, Winston Salem, NC 27103-3208 — (336) 768-0496

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 5013213 (NC)

Record details

NPI number1942821152
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedApril 28, 2020
Last updated in NPPESApril 26, 2024
Certification dateApril 26, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Osh Mi Physicians Group, Pc — 157 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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