MS. CANDICE RAE BEATTY (NPI# 1699877043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699877043 |
| Entity Type | Individual |
| Full Name | MS. CANDICE RAE BEATTY |
| Other Name | MISS CANDICE RAE KVISTAD |
| Credential | MA |
| Practice Address |
2869 Wilshire Dr Ste 201 Orlando FL 32835-3282 |
| Mailing Address |
1227 Overlake Ave Orlando FL 32806-7123 |
| Practice Telephone | 4075786200 |
| Practice Fax Number | 4075783977 |
| Mailing Telephone | 4077183616 |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH6645 | FL | Behavioral Health & Social Service Providers |
| Street Address |
2869 WILSHIRE DR STE 201 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32835-3282 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437268620 | Mohammed Ak Moosa | Internal Medicine | 2869 Wilshire Dr, Ste 205, Orlando, FL 32835-3282 | 2006-08-30 |
| 1538502976 | Manoj K Patel, Dds, Pllc | Clinic/Center | 2869 Wilshire Dr, Suite # 101, Orlando, FL 32835-3282 | 2013-04-16 |
| 1861688814 | Primecare Medical Clinic, Pa | Family Medicine | 2869 Wilshire Dr, Suite 205, Orlando, FL 32835-3282 | 2007-09-23 |
| 1770797334 | Carol Ann Dougherty | Counselor | 2869 Wilshire Dr, Ste 201, Orlando, FL 32835-3282 | 2007-05-10 |
| 1679790976 | Kanika Sharma | Internal Medicine | 2869 Wilshire Dr, 205, Orlando, FL 32835-3282 | 2007-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558912006 | Ork Medical | Family Medicine | 2441 South Hiawassee Road, Orlando, FL 32835 | 2019-09-26 |
| 1104480011 | Anna Linn Patterson | Counselor | 7601 Conroy-windermere Rd, Suite 202, Orlando, FL 32835 | 2019-04-25 |
| 1134695190 | Tammera Black | Clinic/Center | 1969 Westpointe Cir, Orlando, FL 32835 | 2018-10-17 |
| 1821570268 | Christopher James Martin | Physical Therapy Assistant | 117 Lake Dr, Orlando, FL 32835 | 2018-09-02 |
| 1396250098 | Advanced Kid's Care | Pediatrics | 98 Terra Mango Loop, Unit 12, Orlando, FL 32835 | 2017-12-05 |
| 1700303591 | Serenity Home Care & Services | Adult Companion | 2301 Lake Debra Drive Apt 112, Orlando, FL 32835 | 2017-08-23 |
| 1003332743 | Shawanda Wright | Behavioral Analyst | 672 Bellhurst Court, Orlando, FL 32835 | 2017-08-15 |
| 1578092979 | Chrystal Dawn Liebold | Social Worker | 3344 Robert Trent Jones Drive, Unit 101, Orlando, FL 32835 | 2017-06-08 |
| 1497280002 | Adventist Health System/sunbelt, Inc | Family Medicine | 8014 Conroy Windermere Rd, Suite 104, Orlando, FL 32835 | 2017-04-21 |
| 1336680222 | Agile Physical Therapy & Wellness Center LLC | Clinic/Center | 6735 Conroy Windermere Rd, Suite 223, Orlando, FL 32835 | 2017-03-13 |
| Find all providers in zip 32835 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457161 | Jenna Grace Mallek Campos | Counselor | 13626 Phoenix Dr, Orlando, FL 32828-9338 | 2020-11-07 |
| 1295336089 | Resilience Behavioral Health LLC | Counselor | 3211 Calumet Dr, Orlando, FL 32810-2023 | 2020-11-06 |
| 1972103992 | Nadine Ferguson | Counselor | 5932 Folkstone Ln, Orlando, FL 32822-9417 | 2020-10-28 |
| 1386242592 | Orialis Sosa | Counselor | 1613 Park Lake St, Orlando, FL 32803-4154 | 2020-10-12 |
| 1710584057 | Megan E Hunt | Counselor | 1701 Park Center Dr Ste 202, Orlando, FL 32835-6235 | 2020-10-08 |
| 1134726094 | Jeffrey Harris | Counselor | 2568 Woodgate Blvd Apt 203, Orlando, FL 32822-5881 | 2020-10-05 |
| 1568069540 | Ask Schellie Consulting, LLC | Counselor | 2036 36th St, Orlando, FL 32839-8810 | 2020-10-03 |
| 1992319883 | Taleasha Lintayvia Washington | Counselor | 2012 Cabo San Lucas Dr Apt 208, Orlando, FL 32839-8435 | 2020-09-08 |
| 1053925297 | Morgan Mckee | Counselor | 1510 Lake Baldwin Ln Apt B, Orlando, FL 32814-6676 | 2020-09-04 |
| 1104437854 | Eliana Rina Gershon | Counselor | 6203 Steach Dr, Orlando, FL 32808-5436 | 2020-08-14 |
| Find all providers in ORLANDO | ||||
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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.