MRS. CANDACE BULLARD NELSON (NPI# 1427362276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427362276 |
| Entity Type | Individual |
| Full Name | MRS. CANDACE BULLARD NELSON |
| Other Name | MS. CANDACE YVONNE BULLARD |
| Credential | M.S. |
| Practice Address |
220 Magnolia Ave Evergreen AL 36401-3156 |
| Practice Telephone | 2515784545 |
| Mailing Telephone | 2515784545 |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2010-08-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356862874 | Candace Michelle Nelson | Behavioral Analyst | 4001 E 29th St Ste 190, Bryan, TX 77802-4211 | 2017-07-06 |
| 1093136251 | Candace Nelson | Community Health Worker | 1082 Mission Rd, Napakiak, AK 99634 | 2013-12-13 |
| 1457479040 | Candace Cheree Nelson | Licensed Practical Nurse | 261 Connecticut Dr Ste 5, Burlington, NJ 08016-4177 | 2007-03-26 |
| Street Address |
220 MAGNOLIA AVE |
| City | EVERGREEN |
| State | AL |
| Zip Code | 36401-3156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558674564 | Southwest Alabama Mental Health | Community/Behavioral Health | 220 Magnolia Ave, Evergreen, AL 36401-3156 | 2010-07-19 |
| 1134789282 | Jamie L Murphy | Counselor | 220 Magnolia Ave, Evergreen, AL 36401-3156 | 2019-06-19 |
| 1588222848 | Shundrea Montgomery | Counselor | 220 Magnolia Ave, Evergreen, AL 36401-3156 | 2019-06-03 |
| 1578126090 | Monica Davis Johnson | Licensed Practical Nurse | 220 Magnolia Ave, Evergreen, AL 36401-3156 | 2019-04-19 |
| 1841741204 | Kriste Allen | Counselor | 220 Magnolia Ave, Evergreen, AL 36401-3156 | 2016-10-20 |
| 1861855447 | Lakoya Edmonds | Counselor | 220 Magnolia Ave, Evergreen, AL 36401-3156 | 2016-04-01 |
| 1124411624 | Latonya Burroughs | Counselor | 220 Magnolia Ave, Evergreen, AL 36401-3156 | 2015-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437347572 | Elizabeth L Godwin | Counselor | 101 Perryman Street Hwy 31, Compass Academy, Evergreen, AL 36401 | 2007-10-12 |
| 1679691661 | Floyd Michael Cartwright | Dentist | 122 Court Street, Evergreen, AL 36401 | 2007-03-27 |
| 1467526038 | Evergreen Dental Center | Dentist | 100 Edwina Street, Evergreen, AL 36401 | 2006-11-17 |
| 1134141229 | Michael L Pitts | Physical Therapist | 124 Edwina St, Evergreen, AL 36401 | 2006-07-24 |
| 1275565442 | Mark A Roberts | Family Medicine | 106 Edwina Street, Evergreen, AL 36401 | 2006-07-07 |
| 1881677581 | Evergreen Medical Center LLC | Registered Nurse | 308 South Main St, Evergreen, AL 36401 | 2005-11-28 |
| 1063918118 | Jessica Roberts Pierce | Nurse Practitioner | 106 Edwina Street, Evergreen, AL 36401 | 2018-04-05 |
| 1962535112 | Douglas Patrick O'connor | Dentist | 104 Hillcrest Dr, Evergreen, AL 36401 | 2007-03-14 |
| 1952466211 | Mark A Roberts Md PC | Family Medicine | 106 Edwina Street, Evergreen, AL 36401 | 2006-12-27 |
| 1659540086 | State of Alabama | Public Health or Welfare | Highway 83 and I-65, Evergreen, AL 36401-0565 | 2008-02-29 |
| Find all providers in zip 36401 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952933608 | Nicholaus Leo Carmody | Counselor | 29451 Falcon Ridge Dr, Evergreen, CO 80439-6564 | 2020-02-11 |
| 1972141703 | Angie Perry-martin | Counselor | 1240 Bergen Pkwy Ste 250, Evergreen, CO 80439-9571 | 2019-12-11 |
| 1518516947 | Whitney Roberts | Counselor | 2292 Hiwan Dr, Evergreen, CO 80439-8937 | 2019-09-09 |
| 1093129819 | Amanda Kate Sortwell Crane | Counselor | 34507 Squaw Pass Rd, Evergreen, CO 80439-9727 | 2014-06-19 |
| 1356686869 | Brooke E Harris | Counselor | 2922 Evergreen Pkwy Ste 325, Evergreen, CO 80439-7915 | 2012-12-10 |
| 1043512379 | Taya King | Counselor | 3147 Chestnut Ln, Evergreen, CO 80439-8653 | 2010-11-18 |
| 1073835443 | Erin Reid Hart | Counselor | 31207 Keats Way, Evergreen, CO 80439-2219 | 2010-02-25 |
| 1437347572 | Elizabeth L Godwin | Counselor | 101 Perryman Street Hwy 31, Compass Academy, Evergreen, AL 36401 | 2007-10-12 |
| 1679644355 | James Kennedy Orsund | Counselor | 4800 Forest Hill Rd, Evergreen, CO 80439-5751 | 2006-11-13 |
| 1760082192 | Grove Counseling, LLC | Counselor | 2292 Hiwan Dr, Evergreen, CO 80439-8937 | 2020-10-26 |
| Find all providers in EVERGREEN | ||||
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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.