CANDICE JOY DUTKA (NPI# 1376011676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376011676 |
| Entity Type | Individual |
| Full Name | CANDICE JOY DUTKA |
| Credential | FNP-BC |
| Practice Address |
2415 Parkwood Dr Brunswick GA 31520-4722 |
| Mailing Address |
105 Old Wharf Rd Brunswick GA 31523-8943 |
| Practice Telephone | 9124662001 |
| Mailing Telephone | 9126745130 |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2018-11-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN188602 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2415 PARKWOOD DR |
| City | BRUNSWICK |
| State | GA |
| Zip Code | 31520-4722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942294087 | Radiology Consultants PC | Radiology | 2415 Parkwood Dr, Brunswick, GA 31520-4722 | 2005-09-05 |
| 1881201077 | Timmy Lee Davis Jr. | Nurse Practitioner | 2415 Parkwood Dr, Brunswick, GA 31520-4722 | 2020-09-30 |
| 1619582285 | Chadwick Ryan Hodges | Nurse Practitioner | 2415 Parkwood Dr, Brunswick, GA 31520-4722 | 2020-09-10 |
| 1013488220 | Shannon Lynne Monteleone | Nurse Anesthetist, Certified Registered | 2415 Parkwood Dr, Brunswick, GA 31520-4722 | 2018-12-16 |
| 1154817591 | Caroline Strickland Norris | Anesthesiologist Assistant | 2415 Parkwood Dr, Brunswick, GA 31520-4722 | 2018-07-09 |
| 1508361841 | Christopher Chambers | General Acute Care Hospital | 2415 Parkwood Dr, Brunswick, GA 31520-4722 | 2018-03-28 |
| 1700399060 | Rene Nicole Fisler | Nurse Practitioner | 2415 Parkwood Dr, Brunswick, GA 31520-4722 | 2017-11-08 |
| 1477001972 | Emergency Physicians Inc | Emergency Medicine | 2415 Parkwood Dr, Brunswick, GA 31520-4722 | 2016-09-14 |
| 1306298575 | Susana Urgiles | Internal Medicine | 2415 Parkwood Dr, Brunswick, GA 31520-4722 | 2016-07-12 |
| 1821474099 | Ricardo Mauro Perez Rivera | Internal Medicine | 2415 Parkwood Dr, Brunswick, GA 31520-4722 | 2015-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760953434 | David S Deuser Md & Associates PC | Psychiatry & Neurology | 7 Saint Andrews Court, Brunswick, GA 31520 | 2018-12-06 |
| 1063961845 | Irene Limon | Licensed Practical Nurse | 2009 Ellis Street, Brunswick, GA 31520 | 2016-09-22 |
| 1770936551 | Elaine Latimer-tandy | Counselor | 1801 Gloucester St Ste E, Brunswick, GA 31520 | 2016-07-18 |
| 1710336326 | Giva, Inc. | Home Health | 8 St Andrews Court, Brunswick, GA 31520 | 2016-06-06 |
| 1447618525 | Parmelee Eye Care LLC | Point of Service | 1909 Gloucester St, Brunswick, GA 31520 | 2016-02-04 |
| 1578947800 | Holly Diskin Kinsey | Nurse Practitioner | 3400 Parkwood Drive, Brunswick, GA 31520 | 2015-07-16 |
| 1679976419 | Miriam Hosey | Registered Nurse | 2747 Fourth Street, Glynn County Health Dept., Brunswick, GA 31520 | 2014-10-08 |
| 1558779348 | Tracey Renee Price | Internal Medicine | 3025 Shrine Rd Ste 290, Brunswick, GA 31520 | 2014-07-24 |
| 1770901951 | Candace Shepherd | Social Worker | 707 F Street, Brunswick, GA 31520 | 2014-04-03 |
| 1699193599 | Enrique Martinez, M.d., P.C. | Internal Medicine | 3114 A Shrine Road, Brunswick, GA 31520 | 2014-03-29 |
| Find all providers in zip 31520 | ||||
| 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 |
|---|---|---|---|---|
| 1366098048 | Charity Christine Boree | Nurse Practitioner | 241 Huron Loop, Brunswick, GA 31523-3834 | 2019-08-17 |
| 1275037186 | Kimberly Vickery Lewis | Nurse Practitioner | 2500 Starling St Ste 504, Brunswick, GA 31520-4270 | 2018-03-23 |
| 1972052918 | Jordan F. Brown | Nurse Practitioner | 2500 Starling St Ste 506, Brunswick, GA 31520-4270 | 2016-10-03 |
| 1750779039 | Travis A Young | Nurse Practitioner | 114 Northpark Dr, Brunswick, GA 31520-2184 | 2015-01-08 |
| 1487735460 | Hallie E Prince | Nurse Practitioner | 329 Maine St Ste A200, Brunswick, ME 04011-3310 | 2006-10-18 |
| 1962009720 | Kimberly Claire Bell | Nurse Practitioner | 700 Coastal Village Dr, Brunswick, GA 31520-1974 | 2020-10-05 |
| 1528684842 | Alisa Siulinski | Nurse Practitioner | 14 Thomas Point Rd, Brunswick, ME 04011-3911 | 2020-06-23 |
| 1790204709 | Jenny Fritcher Sharpe | Nurse Practitioner | 208 Scranton Connector Ste 120, Brunswick, GA 31525 | 2017-09-12 |
| 1033662879 | Alexandra M Harvan | Nurse Practitioner | 3574 Center Rd, Brunswick, OH 44212-3618 | 2016-07-28 |
| 1861865743 | Mark Dunham | Nurse Practitioner | 3231 Glynn Ave, Brunswick, GA 31520-4851 | 2015-11-02 |
| Find all providers in BRUNSWICK | ||||
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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.