CANDIS M HICKS


Address: 855 Montgomery St, Dept of Ob/gyn, Fort Worth, TX 76107-2553
Phone: 8177350141

CANDIS M HICKS (NPI# 1003972274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003972274
Entity Type Individual
Full Name CANDIS M HICKS
Other Name CANDIS M PANNELL
Credential CNM
Practice Address 855 Montgomery St
Dept of Ob/gyn
Fort Worth
TX 76107-2553
Mailing Address Po Box 99335
Fort Worth
TX 76199-0335
Practice Telephone 8177350141
Mailing Telephone 8177350400
Enumeration Date 2006-12-29
Last Update Date 2011-04-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367A00000X Advanced Practice Midwife 661243 TX Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX BCBS 842134 01
TX 195670801 05

Office Location

Street Address 855 MONTGOMERY ST
DEPT OF OB/GYN
City FORT WORTH
State TX
Zip Code 76107-2553

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831194455 Patricia Lowrimore Psychiatry & Neurology 855 Montgomery St, Fort Worth, TX 76107-2553 2005-06-20
1194353417 Jason L Thompson Student in an Organized Health Care Education/Training Program 855 Montgomery St, Fort Worth, TX 76107-2553 2020-03-31
1639701808 Tyrane Roberts-lagrone Pharmacist 855 Montgomery St, Fort Worth, TX 76107-2553 2020-02-06
1144860917 Melissa Edwards Petersen Clinical Neuropsychologist 855 Montgomery St, Fort Worth, TX 76107-2553 2020-01-09
1629553813 Lisa Jane Killam-worrall Pharmacist 855 Montgomery St, Fort Worth, TX 76107-2553 2018-10-03
1598250607 Sima Taj Mozdbar Optometrist 855 Montgomery St, Fort Worth, TX 76107-2553 2018-06-30
1588153993 Kristen Reuter Social Worker 855 Montgomery St, Fort Worth, TX 76107-2553 2018-05-02
1114431624 Emily J. Clark Counselor 855 Montgomery St, Fort Worth, TX 76107-2553 2017-11-20
1275073215 Elizabeth Svyatoslavna Balyakina Student in an Organized Health Care Education/Training Program 855 Montgomery St, Fort Worth, TX 76107-2553 2017-02-23
1588103659 Frederick Olen Barnum Iv Family Medicine 855 Montgomery St, Fort Worth, TX 76107-2553 2017-02-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629683602 Renovo Wound and Hyperbarics Pllc Emergency Medicine 5668 Edwards Ranch Road, Suite 101, Fort Worth, TX 76107 2020-09-15
1669085437 Ryan Bourgeois Nurse Practitioner 2917 Crocket Street, Fort Worth, TX 76107 2020-08-31
1053920546 Christa Marie Widjaja Optometrist 1700 Montgomery St, Fort Worth, TX 76107 2020-07-30
1093351355 Raymond Iannone Pharmacist 850 Montgomery St, Suite #310, Fort Worth, TX 76107 2019-11-21
1053963744 Cumulus Injury Resolution, Inc. Chiropractor 4936 Byers Avenue, Fort Worth, TX 76107 2019-07-12
1770135576 Shadia Osakwe Physician Assistant 855 Montgomery Street, Pediatric Clinic, Fort Worth, TX 76107 2019-07-11
1568945442 Sachin P Patel Physical Therapist 4825 Wellesley St, Fort Worth, TX 76107 2018-09-07
1023594025 Ftw Pharmacy Services Inc Durable Medical Equipment & Medical Supplies 2912 W 6th St Ste 150, Fort Worth, TX 76107 2018-07-13
1669974325 Helen Williamson Elliott Counselor 1751 River Run #217, Fort Worth, TX 76107 2018-03-08
1487156931 Pelvic Neuromonitoring Pllc Electrodiagnostic Medicine 111 Boland St #211, Ft Worth, TX 76107 2018-03-01
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Taxonomy Information

Taxonomy Code 367A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Advanced Practice Midwife

Taxonomy Definition

Midwifery practice as conducted by certified nurse-midwives (CNMs) and certified midwives (CMs) is the independent management of women's health care, focusing particularly on pregnancy, childbirth, the post partum period, care of the newborn, and the family planning and gynecologic needs of women. The CNM and CM practice within a health care system that provides for consultation, collaborative management, or referral, as indicated by the health status of the client. CNMs and CMs practice in accord with the Standards for the Practice of Midwifery, as defined by the American College of Nurse-Midwives (ACNM).
Notes: Source: American College of Nurse-Midwives, 2008 [7/1/2008: title changed, defintion changed, source changed] Additional Resources: American College of Nurse-Midwives www.acnm.org. The American Midwifery Certification Board, Inc. [AMCB, formerly the ACNM Certification Council, Inc. (ACC)] opened its national certification exam to non-nurse graduates of midwifery education programs and issued the first certified midwife (CM) credential in 1997. Certified midwives are educated to meet the same high standards that certified nurse-midwives must meet. These are the standards that every state in the U.S. has recognized as the legal basis for nurse-midwifery practice. All education programs for CMs, like CNMs, award a post-baccalaureate certificate or higher degree. CMs take the same AMCB certification exam as CNMs and study side by side with nurse-midwifery students in some education programs. As an organization, ACNM supports efforts to legally recognize CMs as qualified midwifery practitioners granted the same rights and responsibilities as CNMs.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346891884 Erica Javes Eggebrecht Advanced Practice Midwife 2208 6th Ave, Fort Worth, TX 76110-1806 2019-09-26
1922577253 Amy Lyn Schaeffer Advanced Practice Midwife 1565 W Magnolia Ave, Fort Worth, TX 76104-4134 2018-11-15
1033461785 Shannon Riley Dasilva Advanced Practice Midwife 4801 Sleepy Ridge Cir, Fort Worth, TX 76133-8328 2012-10-04
1093872012 Texas Health Care, P.l.l.c. Advanced Practice Midwife 1650 W. Magnolia, Suite 204, Fort Worth, TX 76104-4011 2007-01-02
1659473056 University of North Texas Health Science Center At Fort Worth Advanced Practice Midwife 1307 8th Ave Ste 403, Fort Worth, TX 76104-4143 2006-09-05
1316958911 Elizabeth Ann Fairman-hoffman Advanced Practice Midwife 1050 S. 5th Ave, Suite K, Fort Worth, TX 76104 2006-08-10
1679598494 Nancy Jo Reedy Advanced Practice Midwife 1650 W. Magnolia, Suite 212, Fort Worth, TX 76104-4011 2006-07-13
1811944838 Lori Ann Farneti Advanced Practice Midwife 1250 8th Avenue, Suite 320, Fort Worth, TX 76104-4139 2006-05-27
1851933121 Maegan Schwab Advanced Practice Midwife 1250 8th Ave, Fort Worth, TX 76104-4124 2019-10-08
1639665755 Christine Moreau Advanced Practice Midwife 1500 S Main St, Fort Worth, TX 76104-4917 2018-07-02
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Competitor

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City FORT WORTH
Zip Code 76107

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Dataset Information

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.

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