CANDICE M OGLE (NPI# 1407336548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407336548 |
| Entity Type | Individual |
| Full Name | CANDICE M OGLE |
| Practice Address |
2681 Andersonville Hwy Ste 102 Clinton TN 37716-6706 |
| Mailing Address |
Po Box 440217 Nashville TN 37244-0217 |
| Practice Telephone | 8654945960 |
| Practice Fax Number | 8654945964 |
| Mailing Telephone | 8656706199 |
| Mailing Fax Number | 8656706198 |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2018-08-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 24425 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2681 ANDERSONVILLE HWY STE 102 |
| City | CLINTON |
| State | TN |
| Zip Code | 37716-6706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730650870 | Kellye Watkins Wilson | Dental Hygienist | 420 S. Charles Seivers Blvd, Clinton, TN 37716 | 2018-12-16 |
| 1326428087 | Sandra Ella Humphrey Mincey | Registered Nurse | Mcneeley Family Physicians, 110 Executive Park Drive, Clinton, TN 37716 | 2015-06-08 |
| 1598157224 | Susan Price Teffeteller | Nurse Practitioner | 159 Frank L Diggs Road, Clinton, TN 37716 | 2015-03-04 |
| 1710268065 | Jimmy Neil Mcbride | Pharmacist | 1130 North Charles G. Seivers Boulevard, Clinton Drug Store, Clinton, TN 37716 | 2011-08-31 |
| 1265684658 | K-va-t Food Stores, Inc. | Durable Medical Equipment & Medical Supplies | 507 South Charles Sevier Boulevard, Clinton, TN 37716 | 2008-10-16 |
| 1912186016 | Comprehensive Industrial Services Inc | Physical Therapist | 1107 Charles Seivers Blvd, Suite 2, Clinton, TN 37716 | 2007-10-25 |
| 1205039120 | Pamela H. Gross, Ph.d, P.C. | Psychologist | 1729 Dutch Valley Road, Clinton, TN 37716 | 2007-06-07 |
| 1396872057 | Health Care Inc | Pharmacy | 1130 N Charles Seivers Blvd, Clinton, TN 37716 | 2007-02-28 |
| 1346389889 | Kellie Gaetz | Physical Therapist | 1115 Charles Seivers Blvd, Suite 22, Clinton, TN 37716 | 2007-02-05 |
| 1396883955 | Phoenix Counseling Services, Inc. | Counselor | 729 Charles Seivers, Clinton, TN 37716 | 2007-02-02 |
| Find all providers in zip 37716 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891312948 | Courtney Rae Gordon | Nurse Practitioner | 601 Highway 80 E, Clinton, MS 39056-5122 | 2020-07-05 |
| 1053955005 | Ashley Marie James | Nurse Practitioner | 3400 Anamosa Rd, Clinton, IA 52732-9700 | 2019-11-03 |
| 1831745041 | Meghan L Matthews | Nurse Practitioner | 618 W Jefferson St, Clinton, IL 61727-1942 | 2019-08-13 |
| 1952874315 | Brandy Ann Chisholm | Nurse Practitioner | 919 4th Ave S, Clinton, IA 52732-5566 | 2019-01-09 |
| 1013485358 | Clinton Medical and Urgent Care LLC | Nurse Practitioner | 9009 Woodyard Rd Ste 101, Clinton, MD 20735-4268 | 2018-11-05 |
| 1770009656 | Brittni Sioux Cook | Nurse Practitioner | 1154 N 600 W, Clinton, UT 84015-9433 | 2017-08-22 |
| 1730530692 | Sherlene Elane Blackwood | Nurse Practitioner | 360 County Complex Rd Ste 200, Clinton, NC 28328-4846 | 2016-06-22 |
| 1598112583 | Alanda James | Nurse Practitioner | 192 Kelly Dr, Clinton, MS 39056-3062 | 2016-05-19 |
| 1700936275 | Laurie L. Callan,nurse Pracitioner,llc | Nurse Practitioner | 250 S 14th St, Clinton, IA 52732-5435 | 2007-01-10 |
| 1861575045 | Frankie Lynette Britt | Nurse Practitioner | 1021 Beaman St, Clinton, NC 28328-2343 | 2006-10-23 |
| Find all providers in CLINTON | ||||
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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.