CANDICE GAY WALKER (NPI# 1275593535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275593535 |
Entity Type | Individual |
Full Name | CANDICE GAY WALKER |
Credential | CRNP |
Practice Address |
2600 Greenbush St Lafayette IN 47904-2479 |
Mailing Address |
Po Box 5545 Lafayette IN 47903-5545 |
Practice Telephone | 7654488000 |
Practice Fax Number | 7654487627 |
Mailing Telephone | 7654488000 |
Enumeration Date | 2006-03-23 |
Last Update Date | 2012-07-23 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
71000083A | IN | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | PHCS PID NUMBER | 9397711 | 01 |
IN | 200188190 | 05 | |
IN | ANTHEM PROVIDER NUMBER | 000000236827 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912316720 | Candice Walker | Specialist | 710 Inverness Cors, Birmingham, AL 35242-3779 | 2014-08-06 |
1649766957 | Candice Walker | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2018-07-10 |
1275030314 | Candice G Walker | Occupational Therapist | 758 Broadway, Bangor, ME 04401-3224 | 2018-04-06 |
1982119285 | Candice Walker | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2017-12-08 |
1215137328 | Candice Estelle Walker | Obstetrics & Gynecology | 100 Medical Pkwy, Lakeway, TX 78738-5621 | 2007-07-18 |
Street Address |
2600 GREENBUSH ST |
City | LAFAYETTE |
State | IN |
Zip Code | 47904-2479 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922007996 | Rama Marepally | Internal Medicine | 2600 Greenbush St, Lafayette, IN 47904-2477 | 2005-07-20 |
1861039547 | Carly J Yoder | Audiologist | 2600 Greenbush St, Lafayette, IN 47904-2477 | 2019-12-02 |
1306488978 | Jana Suzanne Doyle | Registered Nurse | 2600 Greenbush St, Lafayette, IN 47904-2477 | 2019-10-15 |
1053968024 | Julie J Debord | Nurse Practitioner | 2600 Greenbush St, Lafayette, IN 47904-2477 | 2019-08-23 |
1679120653 | Renee L Weathington | Registered Nurse | 2600 Greenbush St, Lafayette, IN 47904-2477 | 2019-08-23 |
1265086565 | Emily L Newlin | Nurse Practitioner | 2600 Greenbush St, Lafayette, IN 47904-2477 | 2019-07-25 |
1720555402 | Carrie Ann Anderson | Dietitian, Registered | 2600 Greenbush St, Lafayette, IN 47904-2477 | 2018-10-31 |
1306320270 | Britney D Craddock | Nurse Anesthetist, Certified Registered | 2600 Greenbush St, Lafayette, IN 47904-2477 | 2018-09-18 |
1790269694 | Kristie J Craddock | Nurse Anesthetist, Certified Registered | 2600 Greenbush St, Lafayette, IN 47904-2477 | 2018-09-18 |
1174048797 | Laura A Kilmer | Registered Nurse | 2600 Greenbush St, Lafayette, IN 47904-2477 | 2017-08-04 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568998615 | Angela Hands | Physical Therapy Assistant | 1260 North 17th Street, Lafayette, IN 47904 | 2017-05-11 |
1366894164 | Kathryn Barnett | Behavioral Analyst | 2785 Cason St # 2, Lafayette, IN 47904 | 2016-07-06 |
1881972917 | Rest Assured, LLC | Durable Medical Equipment & Medical Supplies | 180 Professional Ct., Lafayette, IN 47904 | 2011-07-22 |
1144514233 | Michelle Cristin Singleton | Dietitian, Registered | 508 N 26th St, Lafayette, IN 47904 | 2011-06-06 |
1912134438 | Jean D Trammel | Marriage & Family Therapist | 2000 Greenburg St, Bldg B, Suite A, Lafayette, IN 47904 | 2009-06-11 |
1902946056 | Terry Richard Baker | Optometrist | 2300 Sagamore Parkway S, Lafayette, IN 47904 | 2007-02-07 |
1891862165 | Becki A Bowditch Inc | Social Worker | 2201 Ferry Street, Lafayette, IN 47904 | 2006-11-29 |
1326121849 | James Lowell Thomas | Pediatrics | 2300 Ferry St, Lafayette, IN 47904 | 2006-10-21 |
1700976719 | Michael Leonard Bagnoli | Dentist | 2020 Union Street, Suite 200, Lafayette, IN 47904 | 2006-10-13 |
1255428801 | Lynn Arlen Pestle | Dentist | 2550 Elmwood Avenue, Lafayette, IN 47904 | 2006-10-06 |
Find all providers in zip 47904 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285182550 | Elizabeth Anne Summerhayes | Nurse Practitioner | 3542 Oconner Dr, Lafayette, CA 94549-4933 | 2016-09-15 |
1194106674 | Jessica J. Meredith | Nurse Practitioner | 4118 Trees Dr, Lafayette, IN 47909-3450 | 2015-06-10 |
1013291350 | Shelly Sebastien Richard | Nurse Practitioner | 501 W Saint Mary Blvd Ste 200, Lafayette, LA 70506-4665 | 2011-10-05 |
1134442692 | Christine Devillier Richard | Nurse Practitioner | 522 Harrell Dr, Lafayette, LA 70503-4935 | 2010-03-11 |
1679761761 | Grace Ihsiu Todd | Nurse Practitioner | 964 Mezzanine Dr, Planned Parenthood of Indiana and Kentucky, Lafayette, IN 47905-8631 | 2007-10-15 |
1396761060 | Deirdre Irene Detraz | Nurse Practitioner | 2801 Kaliste Saloom Rd, Suite 200 B, Lafayette, LA 70508-7181 | 2006-07-14 |
1861451106 | Anne Elizabeth Zahnke | Nurse Practitioner | 1 W 240 S, Lafayette, IN 47909-6303 | 2006-03-23 |
1194728568 | Gilbert Almanza | Nurse Practitioner | 1345 Unity Pl, Suite 345, Lafayette, IN 47905-5760 | 2005-05-31 |
1891330726 | Sarah Roth | Nurse Practitioner | 3750 Landmark Dr Ste B, Lafayette, IN 47905-6652 | 2019-11-14 |
1235774431 | Rdd Consulting | Nurse Practitioner | 3400 Moss St Ste B, Lafayette, LA 70507-6114 | 2019-11-12 |
Find all providers in LAFAYETTE |
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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.