CANDACE KAY WIXSON-JOHNSON (NPI# 1083923841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083923841 |
| Entity Type | Individual |
| Full Name | CANDACE KAY WIXSON-JOHNSON |
| Other Name | CANDACE K WIXSON |
| Credential | PA-C |
| Practice Address |
5525 S Martin Luther King Jr Blvd Lansing MI 48911-3546 |
| Practice Telephone | 5179133888 |
| Mailing Telephone | 5179133888 |
| Mailing Fax Number | 5173948393 |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2020-10-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 5601005899 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5525 S MARTIN LUTHER KING JR BLVD |
| City | LANSING |
| State | MI |
| Zip Code | 48911-3546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615135 | Tiffany Louise Gose | Physician Assistant | 5525 S Martin Luther King Jr Blvd, Lansing, MI 48911-3546 | 2020-10-02 |
| 1801365747 | Caitlan Lindsay Herron | Physician Assistant | 5525 S Martin Luther King Jr Blvd, Lansing, MI 48911-3546 | 2018-11-21 |
| 1124508460 | Andrea Schrecongost | Physician Assistant | 5525 S Martin Luther King Jr Blvd, Lansing, MI 48911 | 2018-08-16 |
| 1114411295 | Sandra Pollard | Nurse Practitioner | 5525 S Martin Luther King Jr Blvd, Lansing, MI 48911-3546 | 2018-06-21 |
| 1790224079 | Ifeyinwa Ajumobi | Physician Assistant | 5525 S Martin Luther King Jr Blvd, Lansing, MI 48911-3546 | 2017-02-20 |
| 1760861777 | Nyebol B Madut | Family Medicine | 5525 S Martin Luther King Jr Blvd, Lansing, MI 48911 | 2015-05-22 |
| 1609266204 | Mclaren Greater Lansing | Emergency Medicine | 5525 S Martin Luther King Jr Blvd, Lansing, MI 48911 | 2015-02-03 |
| 1245636885 | Southside Medical Center Inc | Internal Medicine | 5525 S Martin Luther King Jr Blvd, Lansing, MI 48911-3546 | 2014-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154943603 | Promissa Personalized Care Services LLC | Assisted Living Facility | 200 E Edgewood Blvd, Lansing, MI 48911 | 2020-05-07 |
| 1457911877 | Zachary Todd Goldstein | Pediatrics | Cedar Pediatrics 5303 S. Cedar St, Suite 205, Lansing, MI 48911 | 2019-06-18 |
| 1447713946 | Fadi Nuseibeh | Pharmacist | 3955 Patient Care Drive, Pharmacy, Lansing, MI 48911 | 2019-04-11 |
| 1740704543 | Kyle Lardie | Dental Hygienist | Care Free Medical and Dental 5135 S Pennsylvania Ave, Lansing, MI 48911 | 2017-08-02 |
| 1124549845 | Joash Michael Charles | Behavior Technician | 3720 Richmond Street, Lansing, MI 48911 | 2017-07-03 |
| 1205212164 | Benjamin Curtis Neal | Dentist | 5601 S Cedar St., Lansing, MI 48911 | 2015-08-03 |
| 1376927608 | Heather Lamb | Home Health | 2919 Risdale St, Lansing, MI 48911 | 2015-07-16 |
| 1669861712 | Lucas James Evan Joseph Bila | Licensed Practical Nurse | 2204 S. Wadsworth Dr, Lansing, MI 48911 | 2015-01-13 |
| 1649695271 | Aaron James Hart | Occupational Therapist | 3960 Patient Care Dr Ste 117, Lansing, MI 48911 | 2014-02-18 |
| 1831465871 | Los Equipment Corporation | Dentist | 6810 S. Cedar St, Suite 5, Lansing, MI 48911 | 2012-03-23 |
| Find all providers in zip 48911 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427513282 | Kari Ebel | Physician Assistant | 184 Canyon View Dr, Lansing, KS 66043-6254 | 2019-02-06 |
| 1235514076 | Thuy Vu | Physician Assistant | 1214 South Fork St, Lansing, MI 48917-4074 | 2015-07-22 |
| 1164803938 | Sara Elizabeth Berti | Physician Assistant | 612 Pacific Pkwy, Lansing, MI 48910-3334 | 2015-06-17 |
| 1386985091 | Debbie Ann Name | Physician Assistant | 720 First Terrace, Lansing, KS 66043 | 2013-03-05 |
| 1588986293 | Brent Joseph Leyser | Physician Assistant | 305 Farmstead Ln, Lansing, MI 48917 | 2010-02-22 |
| 1194977330 | Katelyn Elizabeth Lynch | Physician Assistant | 1200 E Michigan Ave Ste 340, Lansing, MI 48912-1894 | 2008-10-21 |
| 1932245560 | Jill Anne Gomoll | Physician Assistant | 1031 E Saginaw St, Lansing, MI 48906-5519 | 2007-01-30 |
| 1629158548 | Foster Brad Morris | Physician Assistant | 5525 S Martin Luther King Blvd, Lansing, MI 48911 | 2006-10-16 |
| 1972589695 | Mark Allan Lawson | Physician Assistant | 901 Kane Dr, Lansing, KS 66043-6305 | 2005-12-15 |
| 1033193404 | Angela M Cooper | Physician Assistant | 50 N Fourth St, Lansing, IA 52151-0540 | 2005-11-30 |
| Find all providers in LANSING | ||||
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| 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.