Candice L Louise (NPI# 1578575080, PAC ID# 2466695317) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1578575080 |
| PAC ID by PECOS | 2466695317 |
| Professional Enrollment ID | I20130826000571 |
| Full Name | Candice L Louise |
| Organization Legal Name | LIFEWAYS, INC |
| Address |
1611 N Whitley Dr Suite 7 Fruitland ID 83619-2180 |
| Phone Number | 2082911020 |
| Gender | F |
| Graduation Year | 2001 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 4183696214 |
| Number of Group Practice Members | 27 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1611 N Whitley Dr, Suite 7, Fruitland, ID 83619-2180 | 2082911020 | LIFEWAYS, INC |
| 1611 N Whitley Dr, Fruitland, ID 83619-2180 | 2082911020 | LIFEWAYS, INC |
| Organization Legal Name | LIFEWAYS, INC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda K Crisler | Physician Assistant | Lifeways, Inc | 1611 N Whitley Dr, Suite 7, Fruitland, ID 83619-2180 |
| Levonne F Kountz | Clinical Social Worker | Lifeways, Inc | 331 Se2nd St, Pendleton, OR 97801-2224 |
| Shannon C Blood | Nurse Practitioner | Lifeways, Inc | 702 Sunset Dr, Ontario, OR 97914-3121 |
| Ashley J Jorgensen | Clinical Social Worker | Lifeways, Inc | 595 Nw 11th St, Hermiston, OR 97838-6600 |
| Rachele N Burke | Clinical Social Worker | Lifeways, Inc | 595 Nw 11th St, Hermiston, OR 97838-6600 |
| Todd A Salzsieder | Physician Assistant | Lifeways, Inc | 1611 N Whitley Dr, Suite 7, Fruitland, ID 83619-2180 |
| Sarah A Andrade | Clinical Social Worker | Lifeways, Inc | 1611 N Whitley Dr, Fruitland, ID 83619-2180 |
| Si R Steinberg | Psychiatry | Lifeways, Inc | 1611 N Whitley Dr, Suite 7, Fruitland, ID 83619-2180 |
| Ashley J Croft | Nurse Practitioner | Lifeways, Inc | 595 Nw 11th St, Hermiston, OR 97838-6600 |
| Amy C Boudreau | Psychiatry | Lifeways, Inc | 702 Sunset Dr, Ontario, OR 97914-3121 |
| Street Address |
1611 N WHITLEY DR SUITE 7 |
| City | FRUITLAND |
| State | ID |
| Zip | 83619-2180 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda K Crisler | Physician Assistant | Lifeways, Inc | 1611 N Whitley Dr, Suite 7, Fruitland, ID 83619-2180 |
| Todd A Salzsieder | Physician Assistant | Lifeways, Inc | 1611 N Whitley Dr, Suite 7, Fruitland, ID 83619-2180 |
| Sarah A Andrade | Clinical Social Worker | Lifeways, Inc | 1611 N Whitley Dr, Fruitland, ID 83619-2180 |
| Si R Steinberg | Psychiatry | Lifeways, Inc | 1611 N Whitley Dr, Suite 7, Fruitland, ID 83619-2180 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jock C Perkins | Physician Assistant | Snake River Dermatology, Pa | 2101 N Whitley Dr, Fruitland, ID 83619-2132 |
| David J Owens | Chiropractic | 2007 N Whitley Dr, Fruitland, ID 83619-2132 | |
| Brock Arben Andersen | Dermatology | Snake River Dermatology, Pa | 2101 N Whitley Dr, Fruitland, ID 83619-2132 |
| Michael A Duncan | Chiropractic | 1710 N Whitley Dr, Suite C, Fruitland, ID 83619-2183 | |
| Eric Scholten | Pulmonary Disease | St Lukes Clinic-treasure Valley LLC | 1210 Nw 16th St, Fruitland, ID 83619-2202 |
| Brett C Johnson | Family Medicine | St Lukes Clinic-treasure Valley LLC | 1210 Nw 16th St, Fruitland, ID 83619-2202 |
| Wendi M Norris | Pulmonary Disease | St Lukes Clinic-treasure Valley LLC | 1210 Nw 16th St, Fruitland, ID 83619-2202 |
| William J Dittrich | Pulmonary Disease | St Lukes Clinic-treasure Valley LLC | 1210 Nw 16th St, Fruitland, ID 83619-2202 |
| Patrick D Weis | Pulmonary Disease | St Lukes Clinic-treasure Valley LLC | 1210 Nw 16th St, Fruitland, ID 83619-2202 |
| David E Fonseca | Pulmonary Disease | St Lukes Clinic-treasure Valley LLC | 1210 Nw 16th St, Fruitland, ID 83619-2202 |
| Find all physicians in zip 83619 | |||
| City | FRUITLAND |
| Zip Code | 83619 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | FRUITLAND + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Candice L Louise.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.