MS. KANDICE K. ANDREWS (NPI# 1679609002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679609002 |
| Entity Type | Individual |
| Full Name | MS. KANDICE K. ANDREWS |
| Credential | CNS |
| Practice Address |
420 W Fifth Avenue Flint MI 48503-5902 |
| Mailing Address |
420 W 5th Ave Flint MI 48503-2445 |
| Practice Telephone | 8102573724 |
| Practice Fax Number | 8102573731 |
| Mailing Telephone | 8102573724 |
| Mailing Fax Number | 8102573731 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-01-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
4704166417 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
4704166417 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4485886 | 05 |
| Street Address |
420 W FIFTH AVENUE |
| City | FLINT |
| State | MI |
| Zip Code | 48503-5902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265819080 | Diana Pinchuk | Registered Nurse | 420 W Fifth Avenue, Flint, MI 48503 | 2015-04-30 |
| 1750656179 | Genesee County Community Mental Health | Case Management | 420 W Fifth Avenue, Flint, MI 48503-2445 | 2012-03-19 |
| 1760710164 | James Michael Hogle Jr. | Social Worker | 420 W Fifth Avenue, Flint, MI 48503-2445 | 2009-11-23 |
| 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 | 364SP0809X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407471782 | Essential Care Medical Center | Clinical Nurse Specialist | 3120 Carpenter St Ste 207, Hamtramck, MI 48212-2771 | 2020-06-11 |
| 1508103920 | Cheryl Ann Zimlich | Clinical Nurse Specialist | 5500 Armstrong Road (11c), Va Medical Center, Battle Creek, MI 49037 | 2013-01-04 |
| 1548592249 | Debra Sl Remley | Clinical Nurse Specialist | 3947 Nelson Dr, Newport, MI 48166-9007 | 2010-02-04 |
| 1790970002 | Deborah L. Edford | Clinical Nurse Specialist | 3413 Bemis Rd, Ypsilanti, MI 48197-9307 | 2007-09-10 |
| 1295800134 | Lynda Kay Suciu | Clinical Nurse Specialist | 6289 Burningtree Dr, Burton, MI 48509-2610 | 2006-11-22 |
| 1346790920 | Cynthia J Papendick Inc | Clinical Nurse Specialist | 16170 Red Arrow Hwy, Suite C-8, Union Pier, MI 49129-9473 | 2016-10-07 |
| 1336450600 | Josephine Anne Grider | Clinical Nurse Specialist | 30600 Telegraph Rd, Suite 3275, Bingham Farms, MI 48025-4530 | 2010-07-01 |
| 1760614721 | Megan M Bronson | Clinical Nurse Specialist | 4877 Meandering Creek Dr Ne, Belmont, MI 49306-9662 | 2009-08-10 |
| 1043455702 | Michele Marie Corker | Clinical Nurse Specialist | 4646 John R, John D. Dingell Va Medical Center, Detroit, MI 48201 | 2008-12-10 |
| 1457540536 | Mark David Loszewski | Clinical Nurse Specialist | 4646 John R St, Mental Health Clinic, Detroit, MI 48201-1916 | 2007-10-15 |
| Find all providers with the same taxonomy | ||||
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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.