CANDICE SHERRELL ROMAN- BOYD (NPI# 1841557550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841557550 |
| Entity Type | Individual |
| Full Name | CANDICE SHERRELL ROMAN- BOYD |
| Credential | CPNP-PC |
| Practice Address |
500 Tidwell Rd Houston TX 77022-2122 |
| Mailing Address |
Po Box 66308 Houston TX 77266-6308 |
| Practice Telephone | 8325485000 |
| Practice Fax Number | 7135234897 |
| Mailing Telephone | 8325485076 |
| Mailing Fax Number | 7135234897 |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2015-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 820821 | TX | Nursing Service Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
AP122007 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
AP06770 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 080462703 | 05 |
| Street Address |
500 TIDWELL RD |
| City | HOUSTON |
| State | TX |
| Zip Code | 77022-2122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891102513 | Lolita Thibodeaux Thompson | Counselor | 500 Tidwell Rd, Houston, TX 77022-2122 | 2014-07-15 |
| 1245583590 | Legacy Community Health Services, Inc | Clinic/Center | 500 Tidwell Rd, Houston, TX 77022-2122 | 2012-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700418373 | Magnolia 1 House | Nursing Care | 505 E 38th St, Houston, TX 77022 | 2020-02-11 |
| 1720569429 | Loving Care Assisted Living Home | Assisted Living Facility | 8209 N Main St, Houston, TX 77022 | 2018-08-22 |
| 1235687674 | Elizabeth Brooke Avant | Physical Therapist | 5206 Airline Drive, Houston, TX 77022 | 2016-09-14 |
| 1225407109 | Elsa Murillo | Pharmacy Technician | 4712 Airline Drive, Suite F, Houston, TX 77022 | 2015-09-21 |
| 1215210125 | Tidwell Rx LLC | Pharmacy | 712 E Tidwell Rd, Suite C, Houston, TX 77022 | 2011-09-27 |
| 1184904195 | Victoria Ann Ramirez | Dentist | 4400 North Fwy Spc D500, Houston, TX 77022 | 2011-08-22 |
| 1902116726 | Serrot Inc. | Optometrist | 4412 North Freeway, Houston, TX 77022 | 2010-10-14 |
| 1972811586 | Wal-mart Stores Texas LLC | Technician/Technologist | 4412 N Fwy, Houston, TX 77022 | 2010-09-16 |
| 1922329671 | Hamid S Sohrabian | Chiropractor | 4615 North Frwy . 208, Houston, TX 77022 | 2010-06-17 |
| 1861636896 | Johnnetta Matrice Nichols | Assisted Living Facility | 8209 N. Main St., Houston, TX 77022 | 2009-04-21 |
| Find all providers in zip 77022 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184266538 | Kristen Nicole Herzog | Nurse Practitioner | 1644 W 13th St, Houston, TX 77008-6451 | 2019-10-16 |
| 1023667185 | Kristin Becker | Nurse Practitioner | 18200 Katy Fwy Ste Wd200, Houston, TX 77094-1399 | 2019-09-10 |
| 1740763721 | Emily Christopherson Shushtari | Nurse Practitioner | 1619 Scenic Ridge Dr, Houston, TX 77043-3408 | 2018-09-14 |
| 1619454097 | Debbie Raucci Robbins | Nurse Practitioner | 3845 Cypress Creek Pkwy Ste 180, Houston, TX 77068-3532 | 2018-07-27 |
| 1063901627 | Tonya Barnett | Nurse Practitioner | 15555 Kuykendahl Rd Fl 3, Houston, TX 77090-3651 | 2018-05-08 |
| 1619342565 | Ritika Tina Dewan | Nurse Practitioner | 6621 Fannin St Fl 1, Houston, TX 77030-2358 | 2015-12-03 |
| 1467858175 | Jessica Marie Ginn | Nurse Practitioner | 8329 Lawndale St, Houston, TX 77012-3707 | 2014-11-06 |
| 1629492277 | Mackenzie Clotworthy | Nurse Practitioner | 4211 Watonga Blvd, Houston, TX 77092-5324 | 2014-02-18 |
| 1477875037 | Hiji Geneva Washington | Nurse Practitioner | 5410 N Braeswood Blvd Apt 912, Houston, TX 77096-3251 | 2010-02-24 |
| 1124355052 | Susan Cooley King | Nurse Practitioner | 9 Greenway Plaza, Suite 2950, Houston, TX 77046 | 2009-11-13 |
| Find all providers in HOUSTON | ||||
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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.