CANDACE MIX (NPI# 1609247832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609247832 |
| Entity Type | Individual |
| Full Name | CANDACE MIX |
| Credential | MSN, RN, PMHCNS-BC |
| Practice Address |
3520 5th Ave Consultation & Liaison Service, Lower Level Pittsburgh PA 15213-3320 |
| Mailing Address |
207 Summit Dr Blawnox PA 15238-2921 |
| Practice Telephone | 4123833200 |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2015-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0807X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Child & Adolescent |
RN625613 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3520 5TH AVE CONSULTATION & LIAISON SERVICE, LOWER LEVEL |
| City | PITTSBURGH |
| State | PA |
| Zip Code | 15213-3320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023014222 | Andrejs Na Baumhammers | Dentist | 3520 5th Ave, Ste 500, Pittsburgh, PA 15213-3320 | 2005-06-22 |
| 1114174034 | Bernard Jonas Calingasan Macatangay | Internal Medicine | 3520 5th Ave, Suite 510 Keystone Building, Pittsburgh, PA 15213-3320 | 2008-08-21 |
| 1326207226 | Pierre Azzam | Psychiatry & Neurology | 3520 5th Ave, Lower Level, Ste.1, Pittsburgh, PA 15213-3320 | 2008-06-05 |
| 1831304153 | Ann Louise Dibarry | Clinical Nurse Specialist | 3520 5th Ave, Suite 1, Ll, Pittsburgh, PA 15213-3320 | 2007-05-11 |
| 1841216959 | Ross Douglas Cranston | Internal Medicine | 3520 5th Ave, Pittsburgh, PA 15213-3320 | 2006-07-14 |
| 1255367793 | Madhu Chhanda Choudhary | Internal Medicine | 3520 5th Ave, Pittsburgh, PA 15213-3320 | 2006-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093312951 | Bozena Agnieszka Brooks Larsen | Nurse Anesthetist, Certified Registered | Upmc Presbyterian, 200 Lothrop Street, Pittsburgh, PA 15213 | 2020-10-05 |
| 1255942272 | Jessica Ann Joy | Nurse Practitioner | 200 Lothrop Street Muh E804, Pittsburgh, PA 15213 | 2020-08-13 |
| 1487264750 | Cornelius Norval Holmes | Counselor | Iacp - Upmc Center for Care of Infectious Diseases, Falk Medical Building, 3601 Fifth Avenue, Suite 700, Pittsburgh, PA 15213 | 2020-08-03 |
| 1396354338 | Brittany Briana Bromfield | Student in an Organized Health Care Education/Training Program | 3459 5th Ave S Ste #9, Pittsburgh, PA 15213 | 2020-07-27 |
| 1003434309 | Dominika Dulak | Student in an Organized Health Care Education/Training Program | 200 Lothrup St. Upmc Montefiore Hospital, Suite N715, Pittsburgh, PA 15213 | 2020-07-13 |
| 1477176303 | Clark Stallings | Student in an Organized Health Care Education/Training Program | 240 University Drive C, Pittsburgh, PA 15213 | 2020-05-27 |
| 1063034007 | Yue Qiu | Student in an Organized Health Care Education/Training Program | 3471 Fifth Avenue Kaufmann Bldg 4th Flr, Suite 402, Pittsburgh, PA 15213 | 2020-05-13 |
| 1598387516 | Bushra Usmani | Student in an Organized Health Care Education/Training Program | 200 Lothrop St. Upmc Montefiore Hospital, Suite N715, Pittsburgh, PA 15213 | 2020-05-13 |
| 1306468335 | Krupa Patel | Student in an Organized Health Care Education/Training Program | 3471 Fifth Avenue Kaufmann Bldg 4th Flr-suite 402, Pittsburgh, PA 15213 | 2020-05-13 |
| 1548882798 | Stephen Henry Bayer | Student in an Organized Health Care Education/Training Program | 3471 5th Ave Upmc Department of Orthopedic Surgery, Kaufman Medical Building Suite 1010, Pittsburgh, PA 15213 | 2020-05-11 |
| Find all providers in zip 15213 | ||||
| Taxonomy Code | 364SP0807X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Child & Adolescent |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992706576 | Jay D Nuss | Clinical Nurse Specialist | 4 Allegheny Ctr Fl 8, Pittsburgh, PA 15212-5255 | 2005-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316073554 | Renee Freilich | Clinical Nurse Specialist | 4447 Gradyville Rd, Newtown Square, PA 19073-3048 | 2007-02-23 |
| 1306915087 | Linda Rae Moreland | Clinical Nurse Specialist | 3 Pennock Ter, Lansdowne, PA 19050-2316 | 2006-11-07 |
| 1003845645 | Juanita J Comp | Clinical Nurse Specialist | 112 Coldbrook Ave, Chambersburg, PA 17201 | 2006-07-03 |
| 1669427167 | Carol Sorrentino | Clinical Nurse Specialist | 1259 S Cedar Crest Blvd Ste 230, Allentown, PA 18103-6376 | 2006-05-23 |
| 1619952504 | Anne M Mcshane | Clinical Nurse Specialist | 721 Lancaster Ave, Downingtown, PA 19335 | 2005-12-13 |
| 1538135306 | Judith T. Veon | Clinical Nurse Specialist | 551 Greenville Rd, Mercer, PA 16137-5019 | 2006-02-23 |
| City | PITTSBURGH |
| Zip Code | 15213 |
Please comment or provide details below to improve the information on CANDACE MIX.
| 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.