MS. CANDACE A HERON (NPI# 1821124751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821124751 |
| Entity Type | Individual |
| Full Name | MS. CANDACE A HERON |
| Other Name | CANDACE A HERON |
| Credential | FNP |
| Practice Address |
6386 Greeley Hill Rd Coulterville CA 95311-9572 |
| Practice Telephone | 2098780155 |
| Mailing Telephone | 2098780155 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2020-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | F4621 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6386 GREELEY HILL RD |
| City | COULTERVILLE |
| State | CA |
| Zip Code | 95311-9572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942258744 | Rebecca E Briggs | Nurse Practitioner | 6386 Greeley Hill Rd, Coulterville, CA 95311-9572 | 2006-05-04 |
| 1124248901 | John C Fremont Healthcare District | Family Medicine | 6386 Greeley Hill Rd, Coulterville, CA 95311-9572 | 2007-04-26 |
| 1275752727 | John C. Fremont Healthcare District | Family Medicine | 6386 Greeley Hill Rd, Coulterville, CA 95311-9572 | 2007-04-24 |
| 1518074178 | Robin Alan Fry | Physician Assistant | 6386 Greeley Hill Rd, Northside Clinic, Coulterville, CA 95311 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780232462 | Jesse Trejo | Technician | 3660 State Highway 132, Coulterville, CA 95311-9722 | 2019-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720636210 | Alberta M Woodside | Technician | 1083 Violet Rd, Coulterville, IL 62237 | 2019-08-28 |
| 1780232462 | Jesse Trejo | Technician | 3660 State Highway 132, Coulterville, CA 95311-9722 | 2019-08-27 |
| 1033693221 | Evelyn Claire Sweeney | Speech-Language Pathologist | 13138 Il-13, Coulterville, IL 62237 | 2018-09-24 |
| 1346765344 | Theresa L Compton | Nurse Practitioner | Po Box 485, Coulterville, IL 62237-0485 | 2017-08-10 |
| 1750652046 | Megan Bleem | Physical Therapy Assistant | 13138 Illinois 13, Coulterville, IL 62237 | 2012-01-19 |
| 1982875357 | Coulterville Unit District No 1 | Local Education Agency (LEA) | 101 West Grant Street, Coulterville, IL 62237-0396 | 2008-03-13 |
| 1962547315 | Coulterville Emergency Ambulance Service | Ambulance | 114 N. Fourth Street, Coulterville, IL 62237-0374 | 2007-02-21 |
| 1023075264 | Shawn Beckemeyer | Family Medicine | Coulterville Medical Clinic, 203 East Grant, Coulterville, IL 62237 | 2006-05-01 |
| 1457348435 | Coulterville Rehabilitation & Health Care Center, LLC | Skilled Nursing Facility | 13138 State Route 13, Coulterville, IL 62237-1134 | 2005-10-04 |
| 1902466857 | Brenton Rains | Occupational Therapy Assistant | 13138 Il-13, Coulterville, IL 62237 | 2019-06-13 |
| Find all providers in COULTERVILLE | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346765344 | Theresa L Compton | Nurse Practitioner | Po Box 485, Coulterville, IL 62237-0485 | 2017-08-10 |
| 1942258744 | Rebecca E Briggs | Nurse Practitioner | 6386 Greeley Hill Rd, Coulterville, CA 95311-9572 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1861092355 | Vilma Estrada | Nurse Practitioner | 37945 28th St E, Palmdale, CA 93550-5521 | 2020-10-26 |
| 1871192492 | Folashade Jayeoba | Nurse Practitioner | 7453 Tucson Ln, Fontana, CA 92336-0712 | 2020-10-23 |
| 1467051391 | Careforyou LLC | Nurse Practitioner | 806 14th St, Modesto, CA 95354-1023 | 2020-10-21 |
| 1427657550 | Adriana Sarah Pettross | Nurse Practitioner | 35286 Vista De Todo, Capistrano Beach, CA 92624-1847 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
| City | COULTERVILLE |
| Zip Code | 95311 |
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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.