CANDIE M. WELLWOOD (NPI# 1386254290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386254290 |
| Entity Type | Individual |
| Full Name | CANDIE M. WELLWOOD |
| Other Name | CANDIE M JOHNSON |
| Credential | ARNP |
| Practice Address |
9908 S Sherman Rd Spokane WA 99224-9811 |
| Mailing Address |
Po Box 993 Medical Lake WA 99022-0993 |
| Practice Telephone | 5098793631 |
| Mailing Telephone | 5098793631 |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2020-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP61025826 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
9908 S SHERMAN RD |
| City | SPOKANE |
| State | WA |
| Zip Code | 99224-9811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447711668 | Elizabeth Cynthia Young | Counselor | 8727 Us-2, Spokane, WA 99224 | 2019-03-29 |
| 1528535952 | Mailene Bianca Orozco | Counselor | 11919 Sprague Ave, Airway Heights, WA 99224 | 2018-10-24 |
| 1124519756 | Jai'lysa Hoskins | Counselor | 1700 S Assembly St, Spokane, WA 99224 | 2018-05-18 |
| 1770012171 | John T Messick | Emergency Medical Technician, Basic | 5410 S Osprey Heights Dr, Spokane, WA 99224 | 2017-06-08 |
| 1780130328 | Ashana Kelly | Behavioral Analyst | 5709 West Sunset Hwy #100, Spokane, WA 99224 | 2016-09-01 |
| 1740690247 | Latah Creek Family Dentistry | Dentist | 4001 S Cheney-spokane Rd, Suite B, Spokane, WA 99224 | 2014-05-06 |
| 1265735609 | Kyle Ray Stewart | Massage Therapist | 10620 W12th #335, Spokane, WA 99224 | 2010-12-07 |
| 1285950311 | Katherine Elaine Bunze | Contractor | 809 S Assembly, Spokane, WA 99224 | 2010-04-14 |
| 1801370044 | Joseph Dickens | Social Worker | 1700 S Assembly St Ste 300, Spokane, WA 99224 | 2018-09-24 |
| 1598143489 | Megan Marie Kerby | Behavioral Analyst | 5709 W Sunset Hwy Ste 100, Spokane, WA 99224 | 2015-05-11 |
| Find all providers in zip 99224 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619576774 | Bethany Heath Arnp-pmhnp Pllc | Nurse Practitioner | 1224 West Riverside, Apt 408, Spokane, WA 99201 | 2020-10-20 |
| 1104434679 | Progressive Psychiatric Consultant | Nurse Practitioner | 170 S Lincoln St # 150, Spokane, WA 99201-4443 | 2020-07-21 |
| 1376104232 | Bethany Ann Heath | Nurse Practitioner | 5420 W Barnes Rd Apt 206, Spokane, WA 99208-7031 | 2019-06-21 |
| 1467948471 | Nicholas Goodwin | Nurse Practitioner | 1106 W Garland Ave, Spokane, WA 99205-2735 | 2018-07-03 |
| 1770095325 | Erin Ryan | Nurse Practitioner | 1013 W Briar Cliff Dr, Spokane, WA 99218-2416 | 2017-11-03 |
| 1972967305 | Roberta Plunkett | Nurse Practitioner | 140 S. Arthur St., Suite 415, Spokane, WA 99202 | 2016-04-12 |
| 1861815037 | Michael Jude Lynch | Nurse Practitioner | 2136 W Riverside Ave, Spokane, WA 99201-1444 | 2014-01-24 |
| 1245507664 | Korsgaard Mental Health, Inc | Nurse Practitioner | 140 S 140 Arthur St, Ste 415, Spokane, WA 99202-2220 | 2011-11-30 |
| 1427247410 | Kristin Angelic Miller | Nurse Practitioner | 3711 W Woodside Ave, Spokane, WA 99208-4860 | 2007-10-16 |
| 1114071271 | Joan C Chase | Nurse Practitioner | 1212 N Washington St Ste 214, Spokane, WA 99201-2401 | 2007-01-23 |
| Find all providers in SPOKANE | ||||
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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.