CANDACE KUPHAL (NPI# 1821509936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821509936 |
| Entity Type | Individual |
| Full Name | CANDACE KUPHAL |
| Credential | DNP, APRN, FNP-C |
| Practice Address |
280 Fletcher Dr Gainesville FL 32611 |
| Mailing Address |
280 Fletcher Dr Gainesville FL 32611-2038 |
| Practice Telephone | 3528755397 |
| Mailing Telephone | 3528755397 |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2019-10-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN11000805 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN229872 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
5490 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 104198900 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4300 Paces Ferry Rd Se Ste 170, Atlanta, GA 303395705 | 3528755397 | |
| 8225 Flying Cloud Dr, Eden Prairie, MN 553445315 | 3528755397 |
| Street Address |
280 FLETCHER DR |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780724773 | Student Health Pharmacy At The University of Florida | Pharmacy | 280 Fletcher Dr, Gainesville, FL 32611-2038 | 2007-02-07 |
| 1255866448 | Jonathan Aubry | Student in an Organized Health Care Education/Training Program | 280 Fletcher Dr, Gainesville, FL 32611-1035 | 2017-04-25 |
| 1073989547 | Maidelys Rohan | Nurse Practitioner | 280 Fletcher Dr, Gainesville, FL 32611-2038 | 2015-08-19 |
| 1407296726 | Kirsty Freshwater | Nurse Practitioner | 280 Fletcher Dr, Gainesville, FL 32611-2038 | 2013-07-01 |
| 1346688025 | Stacey Jackson Hall | Nurse Practitioner | 280 Fletcher Dr, Gainesville, FL 32611 | 2013-06-04 |
| 1013253137 | Meghan Anne Edgar | Pharmacist | 280 Fletcher Dr, Gainesville, FL 32611-2038 | 2012-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235607813 | Sayuri Kitada | Student in an Organized Health Care Education/Training Program | 1908 Stadium Road, Gainesville, FL 32611 | 2018-11-13 |
| 1780938621 | Analesa Clarke | Psychologist | 3190 Radio Rd, Gainesville, FL 32611 | 2012-10-30 |
| 1659496107 | J. Chris Patrick | Specialist/Technologist | Bhg Stadium, Gale Lemerand Dr., Gainesville, FL 32611 | 2007-03-20 |
| 1780711424 | Susan A Donaldson | Nurse Practitioner | 101 S Newell Avenue, Gainesville, FL 32611 | 2007-02-28 |
| 1225117039 | Lance S. Governale | Neurological Surgery | 1149 South Newell Drive;, Univ of Florida; Dept of Neurosurgery; Room L2-100, Gainesville, FL 32611 | 2006-11-03 |
| 1851493191 | Larry Markel Lopez | Pharmacist | 101 South Newell Dr., Hpnp Bldg 212; Room 3309, Gainesville, FL 32611 | 2006-09-05 |
| 1194708065 | Pamela Pieper | Nurse Practitioner | 101 S Newell Drive, Gainesville, FL 32611 | 2005-11-23 |
| 1003436130 | Gerald Richardson IIi | Student in an Organized Health Care Education/Training Program | 100 Newell Dr, Gainesville, FL 32611 | 2020-04-18 |
| 1033774120 | George Joseph Raineri | Student in an Organized Health Care Education/Training Program | 100 S Newell Dr, L4100, Mcknight Brain Institute, Gainesville, FL 32611 | 2019-05-05 |
| 1962907691 | Regan Kemp | Specialist/Technologist | 3150 Hull Rd, Gainesville, FL 32611 | 2018-03-26 |
| Find all providers in zip 32611 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851908446 | Jade Asante-selby | Nurse Practitioner | 3030 Mcever Rd Ste 130, Gainesville, GA 30504-5538 | 2020-09-28 |
| 1295349405 | Mildred K Myrtil | Nurse Practitioner | 3754 Nw 54th Ln, Gainesville, FL 32653-0859 | 2020-09-04 |
| 1821608712 | Talia Rose Maschino | Nurse Practitioner | 1430 Se 51st St, Gainesville, FL 32641-1962 | 2020-08-05 |
| 1760006282 | Chariza Parsons Lopez | Nurse Practitioner | 8340 Nw 51st St, Gainesville, FL 32653-6182 | 2020-06-01 |
| 1255961017 | Whitney Necole Mcneely | Nurse Practitioner | 3009 Sw Williston Rd, Gainesville, FL 32608-3928 | 2020-01-21 |
| 1255961249 | Jared David Mincey | Nurse Practitioner | 10405 Sw 122nd St, Gainesville, FL 32608-5843 | 2020-01-19 |
| 1346870565 | Emily Grace Holbrook | Nurse Practitioner | 650 Crestview Ter, Gainesville, GA 30501-3110 | 2020-01-16 |
| 1205487659 | Grace M Walker Brown | Nurse Practitioner | 592 Medical Park Dr., Suite A, Gainesville, GA 30501 | 2019-09-26 |
| 1124676218 | Fasika T Enyew | Nurse Practitioner | 1870 Atlanta Hwy, Gainesville, GA 30504-5948 | 2019-08-31 |
| 1821641416 | Julie Tiegs | Nurse Practitioner | 5431 Little River Cir, Gainesville, GA 30506-3191 | 2019-07-22 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32611 |
Please comment or provide details below to improve the information on CANDACE KUPHAL.
| 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.