CANDACE KERNELL


Address: 602 Indiana Ave, Lubbock, TX 79415-3364
Phone: 8067758600

CANDACE KERNELL (NPI# 1770133746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 602 INDIANA AVE
City LUBBOCK
State TX
Zip Code 79415-3364

Providers in the same location

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
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City LUBBOCK
Zip Code 79415

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Dataset Information

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.

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