MRS. CANDACE LYNETTE LIRA (NPI# 1508146549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508146549 |
| Entity Type | Individual |
| Full Name | MRS. CANDACE LYNETTE LIRA |
| Credential | PA-C |
| Practice Address |
507 E 16th St Ste 1 Wellington KS 67152-2828 |
| Practice Telephone | 6203263301 |
| Practice Fax Number | 6203263301 |
| Mailing Telephone | 6203263301 |
| Mailing Fax Number | 6203263301 |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2020-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 15-01470 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | BCBS | 1508146549 | 01 |
| KS | 200738580 | 05 | |
| KS | MEDICARE | 111241001 | 01 |
| KS | CAQH | 12277183 | 01 |
| Street Address |
507 E 16TH ST STE 1 |
| City | WELLINGTON |
| State | KS |
| Zip Code | 67152-2828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184615353 | Joel Tracy Weigand | Family Medicine | 507 E 16th St Ste 1, Wellington, KS 67152-2828 | 2005-11-04 |
| 1538773569 | Ascension Medical Group Via Christi, Pa | Clinic/Center | 507 E 16th St Ste 1, Wellington, KS 67152-2828 | 2020-09-08 |
| 1699123901 | Cooper Stewart | Family Medicine | 507 E 16th St Ste 1, Wellington, KS 67152-2828 | 2016-05-26 |
| 1124223649 | Lacie Gregory | Family Medicine | 507 E 16th St Ste 1, Wellington, KS 67152-2828 | 2007-06-15 |
| 1699842799 | Shana Jarmer | Family Medicine | 507 E 16th St Ste 1, Wellington, KS 67152-2828 | 2006-11-30 |
| 1447231428 | Steven Richard Scheufler | Family Medicine | 507 E 16th St Ste 1, Wellington, KS 67152-2828 | 2005-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417373556 | Khan Noohani Md Pa | Psychiatric Unit | 1323 North A Street, Sumner Regional Medical Center, Wellington, KS 67152 | 2014-03-13 |
| 1114266293 | Symmetris, P.a. | Dentist | 122 E. Lincoln, Wellington, KS 67152 | 2013-02-08 |
| 1851485502 | Wellington Family Dentistry | Dentist | 119 East Lincoln, Wellington, KS 67152 | 2006-10-03 |
| 1073553871 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 1111 W 8th St, Wellington, KS 67152 | 2006-06-08 |
| 1629071816 | City of Wellington | Emergency Medical Technician, Basic | 200 North C Street, Suite 200, Wellington, KS 67152 | 2005-05-23 |
| 1356861355 | E.b. Enterprises LLC | Assisted Living Facility | 401 N Woodlawn St, Wellington, KS 67152 | 2017-06-21 |
| 1184753113 | Angela L Baker | Social Worker | 1601 W 16th St, Wellington, KS 67152 | 2007-03-05 |
| 1275619504 | Sumner Mental Health Center | Counselor | 1601 West 16th Street, Wellington, KS 67152 | 2006-10-30 |
| 1629352877 | Cherished Friends LLC | Assisted Living Facility | 924 S Washington Ave, Wellington, KS 67152-2201 | 2011-10-06 |
| 1427009612 | Ggnsc Wellington LLC | Skilled Nursing Facility | 102 W Botkin St, Wellington, KS 67152-2302 | 2006-05-13 |
| Find all providers in zip 67152 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942846324 | Erica Marie Garcia | Physician Assistant | 13302 La Mirada Cir, Wellington, FL 33414-3960 | 2019-11-21 |
| 1497240386 | Jessica Lynn Zalutko | Physician Assistant | 3319 S State Road 7 Ste 202, Wellington, FL 33449-8146 | 2018-06-25 |
| 1710486915 | Catherine Woolwine | Physician Assistant | 15903 Cypress Park Dr, Wellington, FL 33414-6348 | 2018-02-03 |
| 1730690991 | Ariel Le | Physician Assistant | 10115 Forest Hill Blvd Ste 4045, Wellington, FL 33414-3105 | 2017-10-16 |
| 1609385046 | Megan Ginter | Physician Assistant | 3319 S State Road 7 Ste 313, Wellington, FL 33449-8147 | 2017-09-28 |
| 1396020426 | Victoria Vanacore | Physician Assistant | 10141 Forest Hill Blvd, Wellington, FL 33414-6103 | 2011-10-20 |
| 1376848457 | Carrie Ann Davila | Physician Assistant | 1397 Medical Park Blvd Ste 220, Wellington, FL 33414-3187 | 2011-01-20 |
| 1780739128 | Lori Driscoll | Physician Assistant | 13421 S Shore Blvd Ste 101, Wellington, FL 33414-7210 | 2007-01-24 |
| 1588746275 | Jean Carmin Bonnet | Physician Assistant | 8950 Alexandra Cir, Wellington, FL 33414-6438 | 2006-10-20 |
| 1104804210 | Samuel Cyril Jr. | Physician Assistant | 3347 S State Road 7 Ste 101, Wellington, FL 33449-8148 | 2006-01-09 |
| Find all providers in WELLINGTON | ||||
| City | WELLINGTON |
| Zip Code | 67152 |
Please comment or provide details below to improve the information on MRS. CANDACE LYNETTE LIRA.
| 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.