CANDACE L VERDOORN (NPI# 1417284928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417284928 |
| Entity Type | Individual |
| Full Name | CANDACE L VERDOORN |
| Credential | CNP |
| Practice Address |
512 Broadway Centerville SD 57014-0070 |
| Mailing Address |
Po Box 70 Centerville SD 57014-0070 |
| Practice Telephone | 6055632411 |
| Practice Fax Number | 6055632060 |
| Mailing Telephone | 6055632411 |
| Mailing Fax Number | 6055632060 |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2015-04-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
CP000583 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | LICENSE-RN | RO28156 | 01 |
| SD | NURSE PRACTITIONER LICENSE | CP000583 | 01 |
| Street Address |
512 BROADWAY |
| City | CENTERVILLE |
| State | SD |
| Zip Code | 57014-0070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528017662 | Pioneer Memorial Hospital &health Services | Clinic/Center | 512 Broadway, Centerville, SD 57014-0070 | 2006-05-08 |
| 1043313950 | Lavonne Isaak | Pharmacy Technician | 512 Broadway, Centerville, SD 57014-0070 | 2006-09-06 |
| 1508969569 | Cody D Carstensen | Pharmacist | 512 Broadway, Centerville, SD 57014 | 2006-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477081743 | Lewis Family Drug, LLC | Pharmacy | 513 Broadway St, Centerville, SD 57014 | 2017-05-31 |
| 1003956202 | The Evangelical Lutheran Good Samaritan Society | Assisted Living Facility | 500 Vermillion St, Centerville, SD 57014 | 2007-02-07 |
| 1518062629 | Pioneer Memorial Hospital and Health Services | Pharmacy | 513 Broadway, Centerville, SD 57014 | 2006-09-13 |
| 1134129836 | Centerville Community Ambulance Service, Inc. | Ambulance | 800 Main Street, Box 181, Centerville, SD 57014-0181 | 2005-07-26 |
| 1922023944 | Justin Delzer | Chiropractor | 540 Broadway, Centerville, SD 57014-0271 | 2006-07-12 |
| 1407181001 | Centerville School District 60-01 | Local Education Agency (LEA) | 610 Lincoln St, Centerville, SD 57014-2040 | 2009-10-15 |
| 1720605397 | Bruce Adam Bennett | Registered Nurse | 610 Lincoln St, Centerville, SD 57014-2040 | 2020-06-30 |
| 1790137834 | Nichole Johnson | Speech-Language Pathologist | 610 Lincoln St, Centerville, SD 57014-2040 | 2016-07-12 |
| 1881684637 | The Evangelical Lutheran Good Samaritan Society | Durable Medical Equipment & Medical Supplies | 500 Vermillion St, Centerville, SD 57014-2168 | 2005-10-24 |
| 1760042329 | Justine Katherine Sanderson | Occupational Therapy Assistant | 500 Vermillion St, Centerville, SD 57014-2168 | 2019-06-17 |
| Find all providers in zip 57014 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750920617 | Heather Dalynn Ferguson | Nurse Practitioner | 1140 Charter Pl, Centerville, OH 45458-3943 | 2019-12-24 |
| 1831744341 | Lirong Zheng | Nurse Practitioner | 9432 Tahoe Dr, Centerville, OH 45458-3689 | 2019-08-02 |
| 1891278743 | Latonia Queen Howard | Nurse Practitioner | 804 Arbor Ln, Centerville, GA 31028 | 2018-09-06 |
| 1427539014 | Spencer Nicholaus Lowe | Nurse Practitioner | 576 Churchill Dr, Centerville, UT 84014-2614 | 2018-08-22 |
| 1538683727 | Kathleen Whelan | Nurse Practitioner | 6071 Far Hills Ave, Centerville, OH 45459-1923 | 2017-07-28 |
| 1629517727 | Annette Kathryn Hawthorn | Nurse Practitioner | 2591 Miamisburg Centerville Rd Ste 201, Centerville, OH 45459-3706 | 2017-02-22 |
| 1578012993 | Kendra Custer | Nurse Practitioner | 968 Great View Cir Apt D, D, Centerville, OH 45459-6053 | 2016-09-27 |
| 1235688755 | Justin Henne | Nurse Practitioner | 607 W Lassater, Centerville, TX 75833-1959 | 2016-09-26 |
| 1558726109 | Rebecca Schmid | Nurse Practitioner | 1518 Hwy 100, Centerville, TN 37033 | 2015-12-28 |
| 1053795757 | Emily Bush | Nurse Practitioner | 6520 Acro Ct, Centerville, OH 45459-2679 | 2015-07-13 |
| Find all providers in CENTERVILLE | ||||
| City | CENTERVILLE |
| Zip Code | 57014 |
Please comment or provide details below to improve the information on CANDACE L VERDOORN.
| 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.