CANDACE GUMMA (NPI# 1326463985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326463985 |
| Entity Type | Individual |
| Full Name | CANDACE GUMMA |
| Practice Address |
31333 Southfield Rd Ste 130 Beverly Hills MI 48025-5473 |
| Mailing Address |
17187 Schaefer Hwy Suite 4 Detroit MI 48235-4132 |
| Practice Telephone | 2489529190 |
| Practice Fax Number | 2489529190 |
| Mailing Telephone | 3133672767 |
| Mailing Fax Number | 3133672818 |
| Enumeration Date | 2014-02-19 |
| Last Update Date | 2019-04-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 4704274496 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 27970 Orchard Lake Rd, Suite 4, Farmington Hills, MI 483343767 | 2487372555 |
| Street Address |
31333 SOUTHFIELD RD STE 130 |
| City | BEVERLY HILLS |
| State | MI |
| Zip Code | 48025-5473 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174018931 | Rakel K Assk | Nurse Practitioner | 31333 Southfield Rd Ste 130, Beverly Hills, MI 48025-5473 | 2018-06-25 |
| 1346695376 | Ashley Hindo | Nurse Practitioner | 31333 Southfield Rd Ste 130, Beverly Hills, MI 48025-5473 | 2016-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518571413 | Cole Nicolas Gomez | Technician/Technologist | 32199 Telegraph Rd, Bingham Farms, MI 48025 | 2020-09-08 |
| 1346859212 | Jordyn Jones | Technician/Technologist | 32199 Telegraph Rd Ste 205, Bingham Farms, MI 48025 | 2020-07-27 |
| 1013492644 | Shaniya Hyman | Technician/Technologist | 32100 Telegraph Rd Suit 205, Bingham Farms, MI 48025 | 2018-09-28 |
| 1043799042 | Assisted Home Health | Hospice Care, Community Based | 20150 Plantation Ln, Beverly Hills, MI 48025 | 2018-08-09 |
| 1235618224 | Robert Dean Harley | Technician/Technologist | 31200 Telegraph Rd Ste 205, Bingham Farms, MI 48025 | 2018-08-09 |
| 1760973911 | Tailormed Medical Inc | Case Management | 30100 Telegraph Road, Suite 403, Bringham Farms, MI 48025 | 2018-05-23 |
| 1245745447 | Supportive Home Health Care LLC | Home Health | 30100 Telegraph Rd Ste 478, Bingham Farms, MI 48025 | 2017-12-11 |
| 1265954192 | Breeona Rue | Technician/Technologist | 32100 Telegraph Rd Suite 205, Bingham Farms, MI 48025 | 2017-07-12 |
| 1417478132 | Gina Maria Bignotti | Behavior Technician | 32100 Telegraph, Bingham Farms, MI 48025 | 2017-07-03 |
| 1295256238 | Chanel Matti | Behavior Technician | 32100 Telegraph Rd Suite 185, Bingham Farms, MI 48025 | 2017-06-29 |
| Find all providers in zip 48025 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952949364 | Merita Elison | Nurse Practitioner | 9100 Wilshire Blvd Ste 280e, Beverly Hills, CA 90212-3562 | 2019-12-16 |
| 1912544586 | Sheilamarie Escopete | Nurse Practitioner | 9025 Wilshire Blvd Ste 210, Beverly Hills, CA 90211-1825 | 2019-12-03 |
| 1306329784 | Nancy Jennifer Larkin | Nurse Practitioner | 421 N Rodeo Dr Ste G-12, Beverly Hills, CA 90210-4500 | 2018-09-11 |
| 1417366865 | Cherilyn Lee | Nurse Practitioner | 8306 Wilshire Blvd Ste 451, Beverly Hills, CA 90211-2304 | 2014-08-11 |
| 1962779041 | Kiranjot Kaur Gill | Nurse Practitioner | 8920 Wilshire Blvd Ste 425, Beverly Hills, CA 90211-2004 | 2011-11-17 |
| 1164617387 | Cecilia E Bato | Nurse Practitioner | 5155 N Lena Dr, Beverly Hills, FL 34465-4544 | 2007-09-11 |
| 1477518843 | Maria Fe Mangila White | Nurse Practitioner | 8536 Wilshire Blvd, Ste 201, Beverly Hills, CA 90211-3103 | 2006-04-19 |
| 1972148377 | Victoria Bonifacio Yi | Nurse Practitioner | 414 N Camden Dr Ste 1100, Beverly Hills, CA 90210-4517 | 2019-11-10 |
| 1689156820 | Molly Pringle | Nurse Practitioner | 414 N Camden Dr, Beverly Hills, CA 90210-4532 | 2018-09-04 |
| 1740642719 | Georgia Leonie Barnes | Nurse Practitioner | 8484 Wilshire Blvd Ste 200, Beverly Hills, CA 90211-3235 | 2016-03-28 |
| Find all providers in BEVERLY HILLS | ||||
| City | BEVERLY HILLS |
| Zip Code | 48025 |
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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.