CANDICE WILLIAMS (NPI# 1194383398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194383398 |
| Entity Type | Individual |
| Full Name | CANDICE WILLIAMS |
| Practice Address |
820 N Gloster St Tupelo MS 38804-1949 |
| Mailing Address |
377 Huntington Pl Tupelo MS 38801-7965 |
| Practice Telephone | 6629108391 |
| Mailing Telephone | 6629108391 |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2019-06-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
512672 | MS | Other Service Providers |
| N | 224P00000X | Prosthetist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013533587 | Candice Brenda Williams | Home Health Aide | 6413 Shasta Trl, Fort Worth, TX 76133-4432 | 2020-06-22 |
| 1053849117 | Candice Williams | Counselor | 2000 Pee St Nw Ste 200, Washington, DC 20036-6924 | 2017-06-01 |
| 1447703921 | Candice Adale Williams | Community Health Worker | 5215 Commerce Crossings Drive, Louisville, KY 40229-2183 | 2016-08-01 |
| 1841656709 | Candice Williams | Counselor | 536 Pelican Island Dr, Apt. 1, Florissant, MO 63031-8707 | 2016-01-07 |
| 1346481884 | Candice J Williams | Anesthesiology | 1500 E Chevy Chase Dr Ste 101, Glendale, CA 91206 | 2009-03-12 |
| 1831250323 | Candice Morjan Williams | Speech-Language Pathologist | 6003 Crestford Park Ln, Houston, TX 77084-6454 | 2006-12-12 |
| 1437756939 | Candice E. Williams | Massage Therapist | 4107 Plank Rd Ste A, Fredericksburg, VA 22407-0113 | 2020-10-07 |
| 1144827973 | Candice Ariel Williams | Nurse Practitioner | 1500 Cooper Street, Dodson Specialty Clinic, Fort Worth, TX 76104 | 2020-10-05 |
| 1194366583 | Candice M. Williams | Licensed Practical Nurse | 6460 Harrison Ave, Cincinnati, OH 45247-7957 | 2019-10-07 |
| 1083264931 | Candice Williams | Physician Assistant | 1425 Starr Ave, Toledo, OH 43605-2456 | 2019-09-12 |
| Street Address |
820 N GLOSTER ST |
| City | TUPELO |
| State | MS |
| Zip Code | 38804-1949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548874159 | Susan Me'chelle Oliver | Nurse Practitioner | 874 Barnes Crossing Road, Tupelo, MS 38804 | 2020-09-01 |
| 1134762784 | Kimberly J Adams | Occupational Therapy Assistant | 90 Clark Ave, Tupelo, MS 38804 | 2019-10-25 |
| 1790270924 | Megan Guntharp | Occupational Therapist | 960 Commonwealth Boulevard, Tupelo, MS 38804 | 2018-06-29 |
| 1154867562 | Urologic Ambulatory Surgery Center, LLC | Clinic/Center | 3353 N Gloster Street, Suite 300, Tupelo, MS 38804 | 2017-01-09 |
| 1790235919 | Dr Scott Dickinson D.m. D. PC | Dentist | 3999 N Gloster Street, Tupelo, MS 38804 | 2016-10-12 |
| 1326496621 | Angela Estes | Occupational Therapist | County Road 1279 House#197, Tupelo, MS 38804 | 2016-05-26 |
| 1316300080 | Eric Wade Tillotson | Family Medicine | 1665 South Green Street, Tupelo, MS 38804 | 2016-03-31 |
| 1104238898 | Stella M. Johnson | Social Worker | 2292 Camelot Cir, Tupelo, MS 38804 | 2014-05-29 |
| 1821437351 | Lenka Petersen | Student in an Organized Health Care Education/Training Program | 1665 S Green St., Nmmc, Tupelo, MS 38804 | 2013-06-18 |
| 1083966303 | Jessica M Baskett | Counselor | 398 E Main St, Tupelo, MS 38804 | 2012-10-10 |
| Find all providers in zip 38804 | ||||
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023653714 | Aundray Terall Shackelford | Specialist | 105 Rankin Blvd Ext, Tupelo, MS 38801-4611 | 2019-11-17 |
| 1710505649 | Lacrista Montgomery | Specialist | 811 Garfield St, Tupelo, MS 38801-5748 | 2020-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932715216 | Stacy Michelle Reed | Specialist | 121 Lonnie Jenkins Dr, Pearl, MS 39208-3520 | 2020-09-22 |
| 1962014100 | Orthotic & Prosthetic Solutions LLC | Specialist | 3670 Lakeland Ln # B-4, Jackson, MS 39216-4700 | 2020-08-19 |
| 1598252645 | Catiecha L Edwards | Specialist | 1162 Franklin St, Grenada, MS 38901-4237 | 2018-04-14 |
| 1992200950 | Cristy M Mathews | Specialist | 132 Paulding Rd, Leakesville, MS 39451-3073 | 2018-03-29 |
| 1386146520 | Jan A Jordan | Specialist | 1615 2nd Ave N, Columbus, MS 39701-4927 | 2018-03-04 |
| 1679085948 | Alan Evans | Specialist | 106 North Lafayette St, Starkville, MS 39759 | 2017-10-26 |
| 1649725409 | Tynita Steele | Specialist | 5304 Gautier Vancleave Rd, Gautier, MS 39553-4216 | 2016-08-22 |
| 1285097048 | The Lauren Forte Hair Loss Replacement Center | Specialist | 143 Laura Lake Rd, Vicksburg, MS 39180-9787 | 2016-03-30 |
| 1073975066 | Dermaine Antwan Johnson | Specialist | 3500 Highway 39 N Apt 77, Meridian, MS 39301-1339 | 2016-03-28 |
| 1710356936 | Sophia Mcquarter | Specialist | 2706 Old Brandon Rd, Pearl, MS 39208-4701 | 2015-09-17 |
| 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.