CANDICE LYNN WILSON


Address: 990 Oak Ridge Tpke, Oak Ridge, TN 37830-6976
Phone: 8658354600

CANDICE LYNN WILSON (NPI# 1215997028) 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) 1215997028
Entity Type Individual
Full Name CANDICE LYNN WILSON
Credential M.D.
Practice Address 990 Oak Ridge Tpke
Oak Ridge
TN 37830-6976
Mailing Address Po Box 11105
Knoxville
TN 37939-1105
Practice Telephone 8658354600
Practice Fax Number 8658354609
Mailing Telephone 8655882928
Mailing Fax Number 8654509374
Enumeration Date 2006-03-24
Last Update Date 2008-07-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 174400000X Specialist 00027018 AL Other Service Providers
N 174400000X Specialist 055042 GA Other Service Providers
Y 174400000X Specialist 0000037867 TN Other Service Providers
N 174400000X Specialist ME94386 FL Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
TN FIRST HEALTH 1882432 01
TN BCBS OF TN 4184755 01
KY 7100041970 05
GA 807388100 05
TN CIGNA 9495633 01

Other Providers CANDICE WILSON

NPI Name Taxonomy Address Enumeration
1609314061 Candice Melody Wilson Nurse Practitioner 1186 Cypress Glen Cir, Kissimmee, FL 34741-7560 2017-02-06
1902282478 Candice Wilson Occupational Therapy Assistant 82824 Crawford Dr, Indio, CA 92201-7491 2015-08-06
1396379004 Candice L Wilson Counselor 11057 Turfgrass Way, Indianapolis, IN 46236-8320 2020-03-03
1902304439 Candice Newton Wilson Physical Therapist 3708 Northside Dr, Macon, GA 31210-2404 2018-01-30
1326257189 Candice Lynn Wilson Speech-Language Pathologist 97 Preston Rd, Griswold, CT 06351-2516 2007-05-21
1508086935 Candice Wilson Counselor 900 Shugart Rd, Dalton, GA 30720 2007-04-26

Office Location

Street Address 990 OAK RIDGE TPKE
City OAK RIDGE
State TN
Zip Code 37830-6976

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376549501 Carol Howard Bell Pharmacist 990 Oak Ridge Tpke, Oak Ridge, TN 37830-6976 2005-06-22
1295346195 Melissa Wells Nurse Practitioner 990 Oak Ridge Tpke, Oak Ridge, TN 37830-6976 2020-08-13
1518595453 Kayla Renee Milen Registered Nurse 990 Oak Ridge Tpke, Oak Ridge, TN 37830-6976 2020-03-27
1528542099 Holly Lowe Pharmacist 990 Oak Ridge Tpke, Oak Ridge, TN 37830-6976 2018-09-20
1407362163 Katherine J Irwin Nutritionist 990 Oak Ridge Tpke, Oak Ridge, TN 37830-6976 2017-12-18
1437692498 Tennessee Cancer Specialists, Pllc Internal Medicine 990 Oak Ridge Tpke, Methodist Medical Center, Oak Ridge, TN 37830-6976 2016-11-23
1093185381 Ester Beasley Nurse Anesthetist, Certified Registered 990 Oak Ridge Tpke, Oak Ridge, TN 37830-6976 2015-09-30
1326418807 Brian Scott Burnett Nurse Practitioner 990 Oak Ridge Tpke, Oak Ridge, TN 37830-6976 2015-09-28
1518346402 Heather Stooksbury Internal Medicine 990 Oak Ridge Tpke, Oak Ridge, TN 37830-6976 2015-05-25
1194126870 Ami Michelle Goins Nurse Practitioner 990 Oak Ridge Tpke, Oak Ridge, TN 37830-6976 2014-09-12
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194388702 Oak Ridge Pharmacy Pharmacy 854 Main St W, Oak Ridge, TN 37830 2019-04-18
1134682693 Mac's Pharmacy Oak Ridge, LLC Pharmacy 45 New York Avenue, Oak Ridge, TN 37830 2019-04-11
1689153876 Tapuwa Martin Chikowore Dentist 377 S Illinois Ave, Oak Ridge, TN 37830 2018-08-09
1710475660 Oak Ridge Smiles Dentistry, PC Dentist 377 S. Illinois Ave., Oak Ridge, TN 37830 2018-04-26
1417344763 Heather Cupp Social Worker 723 Emory Valley Road, Oak Ridge, TN 37830 2015-04-23
1366701534 Quality Care From The Heart Preferred Provider Organization 144 Newport Drive, Oak Ridge, TN 37830 2012-05-09
1578838223 Second Chance Recovery In Faith, Inc Community/Behavioral Health 234 W Tennessee Ave, Oak Ridge, TN 37830 2012-03-14
1720364615 Douglas Miller Pharmacist 1299 Oak Ridge Turnpike, Oak Ridge, TN 37830 2011-10-24
1619263852 Namratha Reddy Vontela Internal Medicine 200 New York Ave Ste 200, Oak Ridge, TN 37830 2011-06-27
1356658165 Fred Lewis Stephens Social Worker 150 E Division Rd Ste 10, Oak Ridge, TN 37830 2010-09-01
Find all providers in zip 37830

Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841648482 Karen Costanza Specialist 14 Gold Ln, Oak Ridge, NJ 07438-9023 2016-05-24
1215266135 Rubin Burt Prater Specialist Highway 58 - Gallaher Road, K-1007, Ms-7422, Oak Ridge, TN 37831-4699 2009-12-24
1023129772 Oral Surgery Specialists of Tennessee, P.C. Specialist 140 E Division Rd, Oak Ridge, TN 37830-6937 2006-08-31
1063421550 Pathology Medical Associates, Pllc Specialist 129 E Division Rd, Oak Ridge, TN 37830-6907 2006-08-05
1629012109 Kenneth T. Miller Jr. Specialist 160a W Tennesse Ave, Oak Ridge, TN 37830-6940 2006-06-15
1629063342 Paul Barongan Specialist 145 E Vance Rd, Oak Ridge, TN 37830-6528 2005-09-19
1427679539 Amanda Ellice Jett Specialist 100 Adams Ln, Oak Ridge, TN 37830-4909 2020-04-29
1497206858 Don Erick Mcilwain Specialist 300 Laboratory Rd, Oak Ridge, TN 37830-6911 2016-10-20
1295977783 Adam B Shrewsberry Specialist 800 Oak Ridge Tpke, Suite A101, Oak Ridge, TN 37830-6957 2009-03-30
1710149075 Allergy Associates Pa Specialist 200 New York Ave, Suite 250, Oak Ridge, TN 37830-5212 2008-06-27
Find all providers in OAK RIDGE

Competitor

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City OAK RIDGE
Zip Code 37830

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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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