CANDACE SMITH (NPI# 1457779316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457779316 |
| Entity Type | Individual |
| Full Name | CANDACE SMITH |
| Credential | ARNP |
| Practice Address |
2513 Otter Totem Ct St Augustine FL 32092-2445 |
| Practice Telephone | 9046878289 |
| Mailing Telephone | 9046878289 |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2014-03-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
9260335 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841771755 | Candace Nichole Smith | Behavior Technician | 1907 Tyrone Blvd N # 274, St Petersburg, FL 33710-4841 | 2018-08-28 |
| 1760972632 | Candace Lee Smith | Physical Therapy Assistant | 3913 Thousand Oaks Dr, Jonesboro, AR 72404-0717 | 2018-05-16 |
| 1811333891 | Candace Grace Smith | Counselor | 10800 State Highway 151 Apt 1113, San Antonio, TX 78251-4216 | 2013-05-16 |
| 1497800361 | Candace Lee Smith | Pediatrics | 1020 Old Metairie Pl, Metairie, LA 70001-6300 | 2007-01-23 |
| 1699311555 | Candace Smith | Behavior Technician | 25115 Avenue Stanford Ste A100, Valencia, CA 91355-1290 | 2019-11-25 |
| 1760037956 | Candace Christine Smith | Technician, Other | 1150 E Sequoia Ave, Tulare, CA 93274-4508 | 2019-08-05 |
| 1750948980 | Candace Larae Smith | Massage Therapist | 925 8th Ave N, Seattle, WA 98109-6304 | 2019-05-22 |
| 1285112029 | Candace Smith | Behavior Technician | 2840 Henderson Dr, Jacksonville, NC 28546-5242 | 2018-08-03 |
| 1922559111 | Candace Smith | Nurse Anesthetist, Certified Registered | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2016-10-22 |
| 1790148385 | Candace Yvette Smith | Emergency Medicine | 3635 Vista Ave, Slu Division of Emergency Medicine, Saint Louis, MO 63110-2539 | 2016-03-31 |
| Street Address |
2513 OTTER TOTEM CT |
| City | ST AUGUSTINE |
| State | FL |
| Zip Code | 32092-2445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124670146 | Kaitlyn Thomas | Speech-Language Pathologist | 111 Nature Walk Pkwy # B101, Saint Augustine, FL 32092 | 2019-07-10 |
| 1386168359 | Westminster Pines, Inc. | Skilled Nursing Facility | 235 Towerview Drive, St. Augustine, FL 32092 | 2017-08-01 |
| 1255852471 | St Vincent's Urgent Care Inc | Clinic/Center | 2001 Country Road 210 West, St Augustine, FL 32092 | 2017-06-28 |
| 1649702291 | Leonard Volpe | Physician Assistant | 745 Porta Rosa Cir, St Augustine, FL 32092 | 2017-04-03 |
| 1740630425 | Sierra Danielle Shultz | Behavioral Analyst | 2590 C H Arnold Rd, Saint Augustine, FL 32092 | 2016-06-14 |
| 1023467347 | Marylin Palackel James | Family Medicine | 110 Hampton Point Dr, St Augustine, FL 32092 | 2016-06-07 |
| 1790146462 | Florida Autism Center | Community/Behavioral Health | 124 Capulet Drive, St Augustine, FL 32092 | 2016-03-09 |
| 1174901458 | Kaylan Brady | Pediatrics | 70 Turin Terrace, Suite 220, St Augustine, FL 32092 | 2015-05-07 |
| 1245620368 | Angela Sanchez | Physician Assistant | 229 Adelanto Ave, St Augustine, FL 32092 | 2015-01-27 |
| 1053723700 | David Hamilton | Dentist | 149 Tuscan Way, St. Augustine, FL 32092 | 2014-05-29 |
| Find all providers in zip 32092 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356948871 | Rachel Annette Tax | Nurse Practitioner | 325 Sunset Dr, St Augustine, FL 32080-9101 | 2020-10-07 |
| 1386260354 | Kristina Marie Hanlon | Nurse Practitioner | 119 Old Field Ln, St Augustine, FL 32092-1928 | 2020-06-24 |
| 1356977888 | Carol Christine Sickels | Nurse Practitioner | 206 Circle Dr E, St Augustine, FL 32084-0868 | 2020-03-16 |
| 1518501832 | Amanda Allen | Nurse Practitioner | 6936 Cypress Spring Ct, St Augustine, FL 32086-4818 | 2019-10-30 |
| 1023576360 | Folasade Sanusi Olushola | Nurse Practitioner | 2604 Torino Way, St Augustine, FL 32092-4784 | 2019-03-06 |
| 1326502600 | Ashley Fisher Roussell | Nurse Practitioner | 2720 Us Highway 1 S Ste B, St Augustine, FL 32086-6371 | 2019-01-30 |
| 1336658103 | Nena Sheryl Morden | Nurse Practitioner | 100 Whetstone Pl Ste 205, St Augustine, FL 32086-5775 | 2017-09-25 |
| 1245770742 | Linda Gillis | Nurse Practitioner | 143 Portada Dr, St Augustine, FL 32095-1634 | 2017-03-02 |
| 1720328321 | Sharon Lynn Steinmetz | Nurse Practitioner | 6170 A1a S Unit 304, St Augustine, FL 32080-7537 | 2013-02-20 |
| 1881958783 | Holly Beth Doucette | Nurse Practitioner | 74 King St, Health Services, St Augustine, FL 32084-4342 | 2012-06-26 |
| Find all providers in ST AUGUSTINE | ||||
| City | ST AUGUSTINE |
| Zip Code | 32092 |
Please comment or provide details below to improve the information on CANDACE SMITH.
| 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.