CANDACE ELIZABETH PRENTICE (NPI# 1114386299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114386299 |
| Entity Type | Individual |
| Full Name | CANDACE ELIZABETH PRENTICE |
| Practice Address |
2700 Robert T Longway Blvd Ste C Flint MI 48503-2190 |
| Practice Telephone | 8104964955 |
| Mailing Telephone | 8104964955 |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2016-02-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | MI | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
2700 ROBERT T LONGWAY BLVD STE C |
| City | FLINT |
| State | MI |
| Zip Code | 48503-2190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023424207 | Rebecca Ann Horning | Specialist/Technologist, Other | 2700 Robert T Longway Blvd Ste C, Flint, MI 48503-2190 | 2014-07-08 |
| 1275038119 | Nikki Somers-klanseck | Behavior Technician | 2700 Robert T Longway Blvd Ste C, Flint, MI 48503-2190 | 2018-03-23 |
| 1467955948 | Dana Slagg | Behavioral Analyst | 2700 Robert T Longway Blvd Ste C, Flint, MI 48503-2190 | 2018-03-12 |
| 1871020149 | Jennifer Ferrier | Counselor | 2700 Robert T Longway Blvd Ste C, Flint, MI 48503-2190 | 2017-05-17 |
| 1306379466 | Amanda Lukaschewski | Behavioral Analyst | 2700 Robert T Longway Blvd Ste C, Flint, MI 48503 | 2017-04-06 |
| 1306387295 | Alyssa Taylor | Technician, Other | 2700 Robert T Longway Blvd Ste C, Flint, MI 48503-2190 | 2017-03-13 |
| 1891152419 | Jennifer Jinerson | Technician, Other | 2700 Robert T Longway Blvd Ste C, Flint, MI 48503-2190 | 2016-01-27 |
| 1811362932 | Leah Parry | Technician, Other | 2700 Robert T Longway Blvd Ste C, Flint, MI 48503-2190 | 2015-12-01 |
| 1467822429 | Katherine Lee Matosz | Behavioral Analyst | 2700 Robert T Longway Blvd Ste C, Flint, MI 48503-2190 | 2015-10-03 |
| 1922405182 | Mary Michelle Tallman | Occupational Therapist | 2700 Robert T Longway Blvd Ste C, Flint, MI 48503-2190 | 2014-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457971640 | Flint Odyssey House Inc. | Community/Behavioral Health | 1219 Martin Luther King Avenue, Flint, MI 48503 | 2020-04-17 |
| 1891265476 | Mary Margaret Woodruff | Health Educator | 411 E. Third St Suite 2, Flint, MI 48503 | 2018-11-27 |
| 1669942223 | Donna Jean Phelps | Behavior Technician | 2284 S Ballenger Highway, Flint, MI 48503 | 2018-11-27 |
| 1588150601 | Dayonna Scott | Social Worker | Hope Network, 2830 Corunna Rd, Flint, MI 48503 | 2018-07-02 |
| 1801388020 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2284 S Ballenger Hwy Ste F, Flint, MI 48503 | 2018-06-04 |
| 1134610504 | Swathi Gorle | Student in an Organized Health Care Education/Training Program | Hurley Medical Center, 1 Hurley Plaza, Flint, MI 48503 | 2018-05-22 |
| 1881128049 | Kara Garr | Registered Nurse | 805 Tuuri Pl, Flint, MI 48503 | 2017-04-14 |
| 1518405638 | Thomasinia Terrell | Peer Specialist | 422 W Fourth Ave, Flint, MI 48503 | 2017-02-09 |
| 1790231041 | Roslyn Boyce | Technician, Other | 2213 E. Court Street, Flint, MI 48503 | 2016-08-28 |
| 1689120818 | Yasmine Elhefnawy | Student in an Organized Health Care Education/Training Program | One Hurley Plaza 3d West, Flint, MI 48503 | 2016-08-28 |
| Find all providers in zip 48503 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336658335 | Jessica Wendel | Technician, Other | 4511 Miller Rd # 4-1, Flint, MI 48507-1107 | 2017-09-22 |
| 1316465487 | Mary Deshone Jones | Technician, Other | 4511 Miller Rd Ste 4-1, Flint, MI 48507-1107 | 2017-09-08 |
| 1609310705 | Odessa Mahone | Technician, Other | 1044 Huron St, Flint, MI 48507-2326 | 2016-12-07 |
| 1285183897 | Kendra Johnston | Technician, Other | 6623 Maplebrook Ln, Flint, MI 48507-4186 | 2016-09-23 |
| 1407304785 | Ronnie Hughes | Technician, Other | 516 W Witherbee St, Flint, MI 48503-5133 | 2016-09-15 |
| 1659828929 | Savanna Bryant | Technician, Other | 5283 Ridgebend Dr, Flint, MI 48507-6342 | 2016-09-05 |
| 1790231041 | Roslyn Boyce | Technician, Other | 2213 E. Court Street, Flint, MI 48503 | 2016-08-28 |
| 1104370592 | Erika Lorick | Technician, Other | 1005 Stonecreek Dr, Apt. E, Flint, MI 48503-1665 | 2016-08-15 |
| 1629522610 | Darcele Marie Robinson | Technician, Other | 3240 Bridle Path, Flint, MI 48507-1202 | 2016-08-08 |
| 1285188433 | De'anna Lewis | Technician, Other | 3101 Dupont St, Flint, MI 48504-2657 | 2016-08-04 |
| Find all providers in FLINT | ||||
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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.