CANDACE CAMPBELL (NPI# 1730186024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730186024 |
Entity Type | Individual |
Full Name | CANDACE CAMPBELL |
Credential | PA-C |
Practice Address |
182 16th St Burlington CO 80807-1649 |
Practice Telephone | 7193469481 |
Practice Fax Number | 7193469485 |
Mailing Telephone | 7193464898 |
Mailing Fax Number | 7193469485 |
Enumeration Date | 2005-07-01 |
Last Update Date | 2012-08-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1630 | CO | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | 28659376 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538677075 | Candace Jania Campbell | Specialist | 117 Shartom Dr, Augusta, GA 30907-4748 | 2018-01-18 |
1265802243 | Candace Campbell | Physician Assistant | 111 E 210th St, Bronx, NY 10467-2401 | 2015-10-02 |
1275976664 | Candace L. Campbell | Nurse Practitioner | 1 Childrens Way, Little Rock, AR 72202-3500 | 2013-04-16 |
Street Address |
182 16TH ST |
City | BURLINGTON |
State | CO |
Zip Code | 80807-1649 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134781446 | Krista Shalynn Davis | Social Worker | 182 16th St, Burlington, CO 80807-1649 | 2019-07-08 |
1083183800 | Daniela Fawcett | Nurse Practitioner | 182 16th St, Burlington, CO 80807-1649 | 2018-11-21 |
1174099170 | Jesse Enoch Smith | Nurse Practitioner | 182 16th St, Burlington, CO 80807-1649 | 2018-10-17 |
1760910178 | Michelle Dawn Wright | Registered Nurse | 182 16th St, Burlington, CO 80807 | 2017-05-30 |
1023468337 | Brittany Whitmore | Physical Therapist | 182 16th St, Burlington, CO 80807-1649 | 2016-06-16 |
1518327758 | Linnea R Schroeder | Physician Assistant | 182 16th St, Burlington, CO 80807-1649 | 2016-03-01 |
1588022081 | Sara Elizabeth Joyce | Physician Assistant | 182 16th St, Burlington, CO 80807-1649 | 2016-01-29 |
1821352766 | Eunice Wangari Gititu | Family Medicine | 182 16th St, Burlington, CO 80807-1649 | 2012-06-26 |
1932211596 | Kit Carson County Health Services District | Clinic/Center | 182 16th St, Burlington, CO 80807-1649 | 2006-08-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740520642 | Kathryn Helen Dobler | Registered Nurse | 252 South 14th St., Burlington, CO 80807 | 2013-03-01 |
1669666269 | Dawn M James | Clinical Nurse Specialist | 54188 County Rd Hh, Burlington, CO 80807 | 2007-08-28 |
1972608321 | Kit Carson County Health Services District | Hospice Care, Community Based | 286 16th Street, Burlington, CO 80807 | 2006-09-13 |
1043259088 | Aerocare Holdings, Inc | Durable Medical Equipment & Medical Supplies | 349 14th St, Burlington, CO 80807 | 2006-06-05 |
1851363865 | Kit Carson County Health and Human Services | Public Health or Welfare | 252 S. 14th Street, Burlington, CO 80807 | 2006-02-03 |
1790123669 | Madison Senior Living Management LLC | Respite Care | 465 5th Street, Burlington, CO 80807 | 2013-06-12 |
1467753541 | Jason A Sizer | Pharmacist | 314 14th St, Burlington, CO 80807 | 2010-11-05 |
1366527400 | Preventive Family Dental PC | Dental Hygienist | 1440 Lowell Ave, Burlington, CO 80807-0094 | 2006-10-26 |
1982844874 | Centennial Mental Health Center | Community/Behavioral Health | 1291 Circle Dr, Burlington, CO 80807-1245 | 2009-03-05 |
1821657784 | Karl M Ingram | Counselor | 1291 Circle Dr, Burlington, CO 80807-1245 | 2019-06-13 |
Find all providers in zip 80807 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306299532 | Courtney Simmons Scott | Physician Assistant | 5214 S Nc Highway 62, Burlington, NC 27215-9023 | 2016-07-23 |
1821408907 | Laramie Jay Richmond | Physician Assistant | 311 Davis St N, Burlington, ND 58722-2027 | 2014-04-29 |
1861668303 | Holly Griffin Hong | Physician Assistant | 1041 Kirkpatrick Rd Ste 100, Burlington, NC 27215-8066 | 2008-05-05 |
1407923329 | Martha Parnell Seagrave | Physician Assistant | 425 Pearl Street, Center for Health and Wellbeing, Burlington, VT 05401 | 2006-11-29 |
1053406462 | Susan W Fisher | Physician Assistant | 1240 Huffman Mill Road, Attn Emergency Department, Burlington, NC 27511 | 2006-10-03 |
1568005387 | Mackayla Renee Probasco | Physician Assistant | 911 Sunset Rd, Burlington, NJ 08016-2250 | 2019-10-24 |
1285275891 | Amber Blanchard | Physician Assistant | 104 Huffman Mill Rd, Burlington, NC 27215-5113 | 2019-10-04 |
1952811564 | Emilie Lise Besl | Physician Assistant | 111 Colchester Ave, Burlington, VT 05401-1473 | 2017-10-09 |
1699121244 | Cherie Hendrickson | Physician Assistant | 41 Mall Rd, Burlington, MA 01805-0001 | 2016-05-12 |
1063801173 | Janice Bridges Woodard | Physician Assistant | 1234 Huffman Mill Rd, Burlington, NC 27215-8700 | 2015-01-13 |
Find all providers in BURLINGTON |
City | BURLINGTON |
Zip Code | 80807 |
Please comment or provide details below to improve the information on CANDACE CAMPBELL.
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.