CANDACE JANELL CARROLL (NPI# 1659935120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659935120 |
| Entity Type | Individual |
| Full Name | CANDACE JANELL CARROLL |
| Credential | MT |
| Practice Address |
1010 Carbon Ct Unit F Erie CO 80516-8403 |
| Mailing Address |
320 Whitetail Cir Lafayette CO 80026-9068 |
| Practice Telephone | 3034082292 |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2019-06-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 0011076 | CO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982726360 | Candace Elida Carroll | Assisted Living Facility | 1221 3rd Ave, Fairbanks, AK 99701-4239 | 2007-04-04 |
| Street Address |
1010 CARBON CT UNIT F |
| City | ERIE |
| State | CO |
| Zip Code | 80516-8403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376965863 | Flatirons Physical Therapy, LLC | Clinic/Center | 1010 Carbon Ct Unit F, Erie, CO 80516-8403 | 2014-01-17 |
| 1265049183 | Metropolitan Physical Therapy | Clinic/Center | 1010 Carbon Ct Unit F, Erie, CO 80516-8403 | 2020-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821605411 | Casey Elizabeth Dunne | Behavior Technician | 685 Briggs Street, Erie, CO 80516 | 2020-09-28 |
| 1972153799 | Brynn Lay | Chiropractor | 615 Briggs St., Ste. B, Erie, CO 80516 | 2019-09-13 |
| 1013561414 | Giselle Serrano | Dentist | 1927 Colorado State Hwy 7 Ste 101, Ste 101, Erie, CO 80516 | 2019-07-25 |
| 1790348258 | Wild Sun Behavioral Services, LLC | Behavioral Analyst | 685 Briggs St, Erie, CO 80516 | 2019-04-19 |
| 1174011274 | Erie Modern Dentistry, LLP | Dentist | 1927 Colorado State Hwy 7, Suite 101, Erie, CO 80516 | 2018-04-25 |
| 1255843975 | Colorado Dental Professionals, LLC | Dentist | 440 Erie Pkwy, Erie, CO 80516 | 2017-11-03 |
| 1902315476 | Elizabeth Ann Shedd | Nurse Practitioner | 2303 Dogwood Drive, Erie, CO 80516 | 2017-09-27 |
| 1174041073 | Anna Geheren | Registered Nurse | 764 High St, Erie, CO 80516 | 2017-08-31 |
| 1033659321 | T. Brian Cope D.d.s. P.C. | Dentist | 71 Erie Parkway, Suite 101, Erie, CO 80516 | 2017-03-06 |
| 1962959569 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 1981 State Hwy 7, Erie, CO 80516 | 2016-09-01 |
| Find all providers in zip 80516 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677190 | Brittany Adele Labauve | Massage Therapist | 1396 Flannagan Ct, Erie, CO 80516-6941 | 2020-10-25 |
| 1528685799 | Debbie Wheeler | Massage Therapist | 2566 Betts Cir, Erie, CO 80516-7517 | 2020-07-02 |
| 1083105068 | Darline Services | Massage Therapist | 814 Kahkwa Blvd, Erie, PA 16505-4920 | 2018-05-24 |
| 1518396142 | Myriam Desrosiers | Massage Therapist | 618 Mathews Cir, Erie, CO 80516-7267 | 2013-11-04 |
| 1386987816 | Beth A Borecky | Massage Therapist | 5040 W Ridge Rd Suite 208, Erie, PA 16506-1271 | 2013-04-03 |
| 1407128051 | Leigh Ann Lamitola | Massage Therapist | 1567 Bain Dr, Erie, CO 80516-7220 | 2012-01-28 |
| 1568763001 | Michael Linhart | Massage Therapist | 4530 N Park Ln, Erie, PA 16506-1452 | 2010-11-15 |
| 1972770691 | Aimee Jeanne Horton | Massage Therapist | 1846 Maccullen Dr, Erie, CO 80516-7557 | 2008-05-12 |
| 1558989574 | Jacob Andrew Vanhooser | Massage Therapist | 1343 W 38th St, Erie, PA 16508-2461 | 2020-07-07 |
| 1639796741 | Jorey Sebastian Lindsey | Massage Therapist | 1343 W 38th St, Erie, PA 16508-2461 | 2020-07-06 |
| Find all providers in ERIE | ||||
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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.