MS. CANDACE K DECOURVILLE (NPI# 1285155945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285155945 |
| Entity Type | Individual |
| Full Name | MS. CANDACE K DECOURVILLE |
| Other Name | MS. CANDACE K BISHOP |
| Credential | APRN CNP |
| Practice Address |
3761 Massillon Rd Uniontown OH 44685-7730 |
| Practice Telephone | 8663892727 |
| Mailing Telephone | (866) 389-2727 |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2017-09-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN.CNP.021090 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3761 MASSILLON RD |
| City | UNIONTOWN |
| State | OH |
| Zip Code | 44685-7730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538480462 | Shannon C Riley | Registered Nurse | 3761 Massillon Rd, Uniontown, OH 44685-7730 | 2010-06-15 |
| 1225599566 | Adriana Collins | Registered Nurse | 3761 Massillon Rd, Uniontown, OH 44685-7730 | 2019-03-28 |
| 1851881585 | Jesse Mark Rastetter | Nurse Practitioner | 3761 Massillon Rd, Uniontown, OH 44685-7730 | 2018-05-17 |
| 1740724509 | Andrea Leon | Nurse Practitioner | 3761 Massillon Rd, Uniontown, OH 44685-7730 | 2016-12-13 |
| 1689076762 | Monique Newkirk Lane | Nurse Practitioner | 3761 Massillon Rd, Uniontown, OH 44685-7730 | 2014-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719457 | Bonnie Jean Dearmitt | Home Health Aide | 1550 Corporate Woods Parkway, Uniontown, OH 44685 | 2020-08-10 |
| 1902434012 | Jennifer Lenz | Physical Therapist | 1490 Town Park Blvd., Uniontown, OH 44685 | 2020-04-01 |
| 1245778505 | Mary Christina Mcmullen | Nurse Practitioner | 1560 Corporate Woods Pkwy Ste 313, Uniontown, OH 44685 | 2017-02-07 |
| 1447649173 | Verrelle Lee Wyatt | Physical Therapist | 1587 Boettler Rd Ste 140, Uniontown, OH 44685 | 2015-01-19 |
| 1043636459 | Cathy Anne Marshall | Licensed Practical Nurse | 3474 Wright Rd Nw, Uniontown, OH 44685 | 2014-03-10 |
| 1033545991 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 3761 Massilon Rd, Green, OH 44685 | 2013-09-23 |
| 1417399643 | T's Transportation | Private Vehicle | 3072 Raymond St Nw, Uniontown, OH 44685 | 2013-07-30 |
| 1831531052 | Carmen Polanco Santos | Internal Medicine | 1946 Town Park Blvd Ste 330, Uniontown, OH 44685 | 2013-07-30 |
| 1659637171 | Summa Emergency Associates Inc | Emergency Medicine | 1825 Frank Parkway, Uniontown, OH 44685 | 2012-04-10 |
| 1659661619 | Olga A Kuzmin | Internal Medicine | 1835 Franks Parkway, Summa Physicians Inc. Green Internal Medicine, Uniontown, OH 44685 | 2011-04-12 |
| Find all providers in zip 44685 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447721394 | Amber Rae Thompson | Nurse Practitioner | 103 Transit Dr Ste 300, Uniontown, PA 15401-2659 | 2018-12-17 |
| 1831614999 | Bethany Wagner | Nurse Practitioner | 86 Mcclellandtown Rd # Pa, Uniontown, PA 15401-5527 | 2017-08-10 |
| 1588190409 | Lyndsay Balogh | Nurse Practitioner | 202 Jacob Murphy Ln Ste 102, Uniontown, PA 15401-2686 | 2017-05-11 |
| 1851834360 | Olivia Conway | Nurse Practitioner | 97 Deleware Avenue, Suite 103, Uniontown, PA 15401-3137 | 2016-12-01 |
| 1013318765 | Angela Lynn Johnston | Nurse Practitioner | 630 Cherry Tree Lane, Uniontown, PA 15401 | 2014-09-12 |
| 1134476625 | Linda Rae Gardner | Nurse Practitioner | 500 W. Berkely St, C/o Hospital Care Associates, Uniontown, PA 15401 | 2012-08-14 |
| 1730714148 | Tracy Maurer | Nurse Practitioner | 3743 Boettler Oaks Dr Ste E, Uniontown, OH 44685-6227 | 2020-03-05 |
| 1932733128 | Stacey Shankle | Nurse Practitioner | 104 Delaware Ave Ste 244, Uniontown, PA 15401-3100 | 2020-02-26 |
| 1508417288 | Forrest Folk | Nurse Practitioner | 1940 Town Park Blvd, Uniontown, OH 44685-7855 | 2019-09-24 |
| 1073163028 | Vicki Lynn Morgan | Nurse Practitioner | 289 Mcclellandtown Rd, Uniontown, PA 15401-3107 | 2019-09-11 |
| Find all providers in UNIONTOWN | ||||
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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.