CANDACE KERNELL (NPI# 1770133746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770133746 |
Entity Type | Individual |
Full Name | CANDACE KERNELL |
Practice Address |
602 Indiana Ave Lubbock TX 79415-3364 |
Mailing Address |
6808 8th St Lubbock TX 79416-3784 |
Practice Telephone | 8067758600 |
Mailing Telephone | 8067873231 |
Enumeration Date | 2019-09-12 |
Last Update Date | 2019-10-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | 856514 | TX | Nursing Service Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP143246 | TX | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
602 INDIANA AVE |
City | LUBBOCK |
State | TX |
Zip Code | 79415-3364 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487659876 | Mark Brendan Reedy | Obstetrics & Gynecology | 602 Indiana Ave, Lubbock, TX 79415-3364 | 2005-06-14 |
1417571613 | Chelsea Brooke Seaton | Student in an Organized Health Care Education/Training Program | 602 Indiana Ave, Lubbock, TX 79415-3364 | 2020-06-03 |
1437773728 | John Clinton Fisher IIi | Student in an Organized Health Care Education/Training Program | 602 Indiana Ave, Lubbock, TX 79415-3364 | 2020-06-02 |
1700409448 | Ryan Everett Hirata | Student in an Organized Health Care Education/Training Program | 602 Indiana Ave, Lubbock, TX 79415-3364 | 2020-05-28 |
1013530716 | Lillian Amezquita | Student in an Organized Health Care Education/Training Program | 602 Indiana Ave, Lubbock, TX 79415-3364 | 2020-05-28 |
1457990186 | Madison Dreu Williams | Registered Nurse | 602 Indiana Ave, Lubbock, TX 79415-3364 | 2019-12-28 |
1972145977 | Alicia Garcia Castanon | Nurse Practitioner | 602 Indiana Ave, Lubbock, TX 79415-3364 | 2019-10-10 |
1154883767 | James William Woodwick Jr. | Nurse Practitioner | 602 Indiana Ave, Lubbock, TX 79415-3364 | 2019-04-02 |
1811455066 | Rolando Adolfo Lugo II | Nurse Practitioner | 602 Indiana Ave, Lubbock, TX 79415-3364 | 2019-03-06 |
1114483799 | Rey David Valdez | Nurse Practitioner | 602 Indiana Ave, Lubbock, TX 79415-3364 | 2019-02-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831569540 | Community Health Center of Lubbock, Inc. | Clinic/Center | 3502 9th St Ste 280, Lubbock, TX 79415 | 2015-10-07 |
1922447457 | Fnu Parijat Kumar | Physical Therapist | 2717 3rd Street, Aptt 803, Lubbock, TX 79415 | 2013-06-18 |
1851575906 | Diego Rivera, M.d., P.a. | Family Medicine | 111 University Ave, Lubbock, TX 79415 | 2007-12-26 |
1730206632 | Kathleen Brinkman Felts | Physical Therapist | 3710 4th Street, Lubbock, TX 79415 | 2007-03-23 |
1568508521 | Horace Rueben Sharp Jr. | Optometrist | 1911 4th St, Lubbock, TX 79415 | 2007-01-29 |
1699876201 | Patricia R. Arledge | Plastic Surgery | 3502 9th St., Suite 270, Lubbock, TX 79415 | 2006-09-26 |
1245330018 | Perlita Molina Sambrano-tandoc | Nurse Practitioner | 602 East Indiana Avenue, Lubbock, TX 79415 | 2006-09-22 |
1639199862 | Justin Tidwell | Emergency Medicine | 604 Indiana, Lubbock, TX 79415 | 2006-07-20 |
1912944059 | Community Health Center of Lubbock, Inc. | Clinic/Center | 3301 Clovis Road, Lubbock, TX 79415 | 2006-05-31 |
1497709265 | Byron Wayne Schoettle | Radiology | 602 Indiana Avenue, Lubbock, TX 79415 | 2006-05-19 |
Find all providers in zip 79415 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053911859 | Amber Marie Bowman | Nurse Practitioner | 5106 59th St, Lubbock, TX 79414-4312 | 2020-10-29 |
1609475219 | Jonathan-michael Aaron Sisson | Nurse Practitioner | 7421 104th St, Lubbock, TX 79424-6079 | 2020-10-23 |
1174134753 | Rebecca Stephanie Castillo | Nurse Practitioner | 5528 109th St, Lubbock, TX 79424-7680 | 2020-08-16 |
1508487398 | Mark Angelo Padolina | Nurse Practitioner | 1101 Oshkosh Ave, Lubbock, TX 79416-3810 | 2020-05-03 |
1841826724 | Leticia Luna Flores Cooper | Nurse Practitioner | 2511 60th St, Lubbock, TX 79413-5641 | 2020-03-23 |
1952931693 | Camella Dawn Ladd | Nurse Practitioner | 1307 Martin Luther King Blvd, Lubbock, TX 79403-5329 | 2020-01-22 |
1962042598 | Wendy Geraldine Avalos | Nurse Practitioner | 9304 Primrose Ave, Lubbock, TX 79424-6799 | 2020-01-11 |
1619516325 | Jessica Krueger | Nurse Practitioner | 5502 103rd St, Lubbock, TX 79424-6417 | 2019-12-27 |
1417596438 | Alicia Michelle Powell | Nurse Practitioner | 6102 82nd St Ste 14, Lubbock, TX 79424-0840 | 2019-12-23 |
1376181537 | Ashley Nicole White | Nurse Practitioner | 5614 100th St, Lubbock, TX 79424-6268 | 2019-12-18 |
Find all providers in LUBBOCK |
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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.