MRS. CANDICE MICHELLE MCGOWAN (NPI# 1639403876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639403876 |
| Entity Type | Individual |
| Full Name | MRS. CANDICE MICHELLE MCGOWAN |
| Credential | FNP-BC |
| Practice Address |
19401 E 39th St S Independence MO 64057-2308 |
| Mailing Address |
6416 Old Winter Garden Rd Orlando FL 32835-1348 |
| Practice Telephone | 8164904277 |
| Practice Fax Number | 8554467160 |
| Mailing Telephone | 4077517288 |
| Mailing Fax Number | 4077700661 |
| Enumeration Date | 2009-09-21 |
| Last Update Date | 2020-01-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2004008683 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | NURSE PRACTITIONER LICENSURE | 2004008683 | 01 |
| Street Address |
19401 E 39TH ST S |
| City | INDEPENDENCE |
| State | MO |
| Zip Code | 64057-2308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124018437 | Carol A. Harrington | Nurse Practitioner | 19401 E 39th St S, Independence, MO 64057-2308 | 2005-10-27 |
| 1649793001 | Partners In Primary Care Nc P C | Family Medicine | 19401 E 39th St S, Independence, MO 64057-2308 | 2017-07-18 |
| 1861694705 | Heather Lynn Savedra | Internal Medicine | 19401 E 39th St S, Independence, MO 64057-2308 | 2007-06-04 |
| 1841396363 | Stephanie A Hutchison | Nurse Practitioner | 19401 E 39th St S, Independence, MO 64057-2308 | 2006-09-15 |
| 1588622153 | Katrina D. Powers | Family Medicine | 19401 E 39th St S, Independence, MO 64057-2308 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174002364 | Justine Barye Bolton | Physical Therapist | 2301 South 291 Highway, Independence, MO 64057 | 2018-08-09 |
| 1194230136 | Brantley Vincent Niendick | Occupational Therapist | 2301 S M 291 Hwy, Independence, MO 64057 | 2017-12-13 |
| 1437693561 | Derek Faulkner | Counselor | 2400 Little Blue Pkwy, Independence, MO 64057 | 2016-12-08 |
| 1578916136 | Jared Donald Gerstenkorn | Physical Therapist | 2301 South Highway 291, Independence, MO 64057 | 2016-07-19 |
| 1295198182 | Jennifer J Allen | Nurse Practitioner | 2310 Castle Drive, Independence, MO 64057 | 2016-03-30 |
| 1750750808 | Lisa Louise Freeman | Physical Therapy Assistant | 3980 S Jackson Dr, Independence, MO 64057 | 2015-09-18 |
| 1437543592 | Harold Epps | Specialist/Technologist | 2301 South Mo 291 Highway, Independence, MO 64057 | 2015-03-26 |
| 1245620426 | Holly Morgan | Occupational Therapist | 3980 S Jackson Dr., Independence, MO 64057 | 2015-01-27 |
| 1093128159 | Jennifer Falk Crumbaugh | Dentist | 3151 S. M-291 Highway, Suite A, Independence Mo, MO 64057 | 2014-06-06 |
| 1952711954 | Judy Bray | Occupational Therapy Assistant | 3980 East Jackson Drive, Independence, MO 64057 | 2014-04-30 |
| Find all providers in zip 64057 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255944815 | Lauren Narduzzi | Nurse Practitioner | 8755 Hillside Rd, Independence, OH 44131-5424 | 2020-08-24 |
| 1699303735 | Aaron Mccoy | Nurse Practitioner | 11509 Staffordsburg Rd, Independence, KY 41051-7759 | 2020-04-01 |
| 1851922629 | Integrated Health and Wellness LLC | Nurse Practitioner | 281 Martin Luther King Jr St, Independence, LA 70443-2386 | 2020-01-30 |
| 1467010298 | Francina Contessa Whitley | Nurse Practitioner | 17020 E Us Highway 40 Ste 5&6, Independence, MO 64055-5361 | 2019-06-05 |
| 1033777545 | Joshua Clayton Smith | Nurse Practitioner | 12613 E 41st Ter S, Independence, MO 64055-4420 | 2019-05-30 |
| 1326539578 | Brenton Paul Wagner | Nurse Practitioner | 4801 Acorn Dr Ste B, Independence, OH 44131-2566 | 2018-05-23 |
| 1649791468 | Danielle Davone Boguslaw | Nurse Practitioner | 4731 S Cochise Dr Ste 100, Independence, MO 64055-6975 | 2017-07-01 |
| 1063951101 | April Altice | Nurse Practitioner | 815 N Noland Rd Ste 6, Independence, MO 64050-2975 | 2017-02-22 |
| 1184173924 | Tina Michelle Ross | Nurse Practitioner | 1500 W White Oak St, Independence, MO 64050-2559 | 2016-09-21 |
| 1477907830 | Christina M Reser | Nurse Practitioner | 16912 E Hart Ave, Independence, MO 64055-3040 | 2016-04-21 |
| Find all providers in INDEPENDENCE | ||||
| City | INDEPENDENCE |
| Zip Code | 64057 |
Please comment or provide details below to improve the information on MRS. CANDICE MICHELLE MCGOWAN.
| 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.