CANDICE CLARK (NPI# 1760932537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760932537 |
| Entity Type | Individual |
| Full Name | CANDICE CLARK |
| Credential | FNP-C |
| Practice Address |
2617 W Holcombe Blvd Houston TX 77025-1757 |
| Mailing Address |
25410 China Spgs Spring TX 77373-8279 |
| Practice Telephone | 8328317438 |
| Mailing Telephone | 8325272999 |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2016-10-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP132130 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700297421 | Candice A Clark | Registered Nurse | 152 S Washington St, Belchertown, MA 01007-9604 | 2014-05-15 |
| 1124018379 | Candice Ella Clark | Dentist | 506 Airport Dr, Farmington, NM 87401-2602 | 2005-10-27 |
| 1528431814 | Candice Clark | Social Worker | 405 Biggs St, Laurinburg, NC 28352-4109 | 2015-11-09 |
| 1063852572 | Candice Pike Clark | Nurse Practitioner | 421 N Holly Ave, Ste. C, Siler City, NC 27344-3076 | 2013-06-28 |
| Street Address |
2617 W HOLCOMBE BLVD |
| City | HOUSTON |
| State | TX |
| Zip Code | 77025-1757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063892107 | Sherill D. Kennedy | Nurse Practitioner | 2617 W Holcombe Blvd, Houston, TX 77025-1757 | 2015-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154949113 | Arrhythmia Care Center Pllc | Internal Medicine | 3501 Link Valley Drive Unit 305, Houston, TX 77025 | 2020-07-07 |
| 1760041578 | Beloved Dental Pllc | Dentist | 4130 Bellaire Blvd, Suite 214, Houston, TX 77025 | 2019-06-06 |
| 1245894294 | Gac Dental Pllc | Dentist | 9540 South Main St., Ste 100, Houston, TX 77025 | 2019-04-25 |
| 1255864930 | South Loop Dentistry, P.C. | Dentist | 3264 South Loop W., Houston, TX 77025 | 2017-04-10 |
| 1124489133 | Dominique Bernard Singleton | Social Worker | 7300 Brompton Street, Ap:5436, Houston, TX 77025 | 2016-03-18 |
| 1528493707 | Innerwisdom | Health Maintenance Organization | 13038 Bamboo Forest Trl, Houston, TX 77025 | 2013-09-06 |
| 1356686562 | Pulmonary Rx | Durable Medical Equipment & Medical Supplies | 10019 S. Main St., Suite A9-d, Houston, TX 77025 | 2012-11-29 |
| 1548512916 | Jason Thompson | Dentist | 3728 Main Poplar Dr, Houston, TX 77025 | 2012-10-10 |
| 1164772745 | Linda Freeman | Speech-Language Pathologist | 7300 Brompton, #6114, Houston, TX 77025 | 2012-09-11 |
| 1508115197 | Albert Edward Gunn | Internal Medicine | 3514 Glen Haven Boulevard, Houston, TX 77025 | 2012-08-29 |
| Find all providers in zip 77025 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255162 | Shaida Rahmatinick | Nurse Practitioner | 1515 W 22nd St, Houston, TX 77008-1501 | 2020-11-08 |
| 1104426311 | Erin Krim Gordon | Nurse Practitioner | 2202 Quenby St, Houston, TX 77005-1502 | 2020-10-27 |
| 1003415902 | Hope Ozumba | Nurse Practitioner | 8544 Dairy View Ln, Houston, TX 77072-3907 | 2020-10-21 |
| 1487253761 | Khanh Vu Phuong Nguyen | Nurse Practitioner | 13218 Bellaire Bld, Houston, TX 77083 | 2020-10-19 |
| 1962001362 | Eshcol Clinic | Nurse Practitioner | 9935 Bissonnet St Unit B, Houston, TX 77036-8413 | 2020-10-19 |
| 1013516483 | Shazia Mominkhawaja | Nurse Practitioner | 2222 Greenhouse Rd Ste 400, Houston, TX 77084-7288 | 2020-10-18 |
| 1851908610 | Iyobo Elegon | Nurse Practitioner | 8511 Dawnridge Dr, Houston, TX 77071-2441 | 2020-09-25 |
| 1548877541 | Lifespan Psychiatry and Wellness Center Pllc | Nurse Practitioner | 8700 Commerce Park Dr Ste 220, Houston, TX 77036-7431 | 2020-09-24 |
| 1811503345 | Alyssa Cory Hildebrand | Nurse Practitioner | 2450 Fondren Rd Ste 111, Houston, TX 77063-2314 | 2020-09-21 |
| 1245846088 | Adriana Ortiz | Nurse Practitioner | 7218 Shady Corners Ln, Houston, TX 77040-4733 | 2020-09-17 |
| Find all providers in HOUSTON | ||||
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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.