CANDICE NICOLE GARDNER (NPI# 1881063972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881063972 |
| Entity Type | Individual |
| Full Name | CANDICE NICOLE GARDNER |
| Other Name | CANDICE WALTERS |
| Credential | NP |
| Practice Address |
401 N 12th St Richmond VA 23298 |
| Mailing Address |
Po Box 91734 Richmond VA 23291-1734 |
| Practice Telephone | 8048289000 |
| Mailing Telephone | 8043586100 |
| Mailing Fax Number | 8043427619 |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2018-08-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
0024172819 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1250 E Marshall St, Richmond, VA 232985051 | 8048282775 | 8048280191 |
| Street Address |
401 N 12TH ST |
| City | RICHMOND |
| State | VA |
| Zip Code | 23298 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366440976 | Cynthia K Kirkwood | Pharmacist | 401 N 12th St, Smith Building, Room 454, Richmond, VA 23298-5035 | 2005-07-08 |
| 1578940953 | Virginia Commonwealth University Health System Authority | Pharmacy | 401 N 12th St, Richmond, VA 23298-5035 | 2015-05-05 |
| 1497132872 | Virginia Commonwealth University Health System Authority | Pharmacy | 401 N 12th St, Richmond, VA 23298-5035 | 2015-05-05 |
| 1962889022 | Virginia Commonwealth University Health System Authority | Pharmacy | 401 N 12th St, Richmond, VA 23298-5035 | 2015-04-28 |
| 1598071581 | Virginia Commonwealth University Health System Authority | Pharmacy | 401 N 12th St, Richmond, VA 23298-5035 | 2010-08-27 |
| 1740272665 | Adraine Nicole Lawrence Lyles | Pharmacist | 401 N 12th St, L-108, Richmond, VA 23298-5035 | 2005-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730703604 | Russell Wayne Dowell | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Em Residency/fellowship, 1250 E. Marshall Street, Richmond, VA 23298 | 2020-06-05 |
| 1215551262 | Anna Leigh Cline | Student in an Organized Health Care Education/Training Program | Vcuhs Department of Emergency Medicine, 980401, 1250 E Marshall Street, Richmond, VA 23298 | 2020-06-05 |
| 1598389629 | Annabel Eujung Baek | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Plastic Surgery Residency, 980154, 1250 E. Marshall Street, Richmond, VA 23298 | 2020-06-04 |
| 1235752957 | Valerie Tammy Tran | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency, 980509, 1250 E Marshall St, Richmond, VA 23298 | 2020-05-28 |
| 1386267193 | Michael Terribile | Student in an Organized Health Care Education/Training Program | Vcuhs Department of Pediatrics Residency, 980163, Richmond, VA 23298 | 2020-05-27 |
| 1417585449 | Ryan Louis Naum | Student in an Organized Health Care Education/Training Program | Vcuhs Dept. of Neurology Residency, #980599, 1250 E. Marshall Street, Richmond, VA 23298 | 2020-03-27 |
| 1477102531 | Shanon Fitzpatrick Beam | Nurse Practitioner | Vcu Medical Center, 1250 East Marshall Street, Richmond, VA 23298 | 2019-09-10 |
| 1922666924 | Sumerth Kumar Pathak | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Psychiatry, 980710, 1250 E. Marshall Street, Richmond, VA 23298 | 2019-06-04 |
| 1467010595 | Christopher Bednarz | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Surgery Residency, 980118, 1250 E. Marshall Street, Richmond, VA 23298 | 2019-06-04 |
| 1629636782 | Nicholet Mitchell | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Em Residency/fellowship, 980401, 1250 E. Marshall Street, Richmond, VA 23298 | 2019-06-04 |
| Find all providers in zip 23298 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609481787 | Heather E Allmon | Nurse Practitioner | 1200 E Broad Street, West Hospital, Richmond, VA 23298-5023 | 2020-09-15 |
| 1114531803 | Karalee Ann Mlack | Nurse Practitioner | 432 Sara Leigh Dr Apt 2, Richmond, KY 40475-2648 | 2020-09-01 |
| 1982214813 | Brandon Lawrence Johnson | Nurse Practitioner | 1300 E Marshall St Fl 10, Richmond, VA 23298-5028 | 2020-08-05 |
| 1043832850 | Sanober Barolia | Nurse Practitioner | 1007 Parsnip Acres Ct, Richmond, TX 77406 | 2020-05-14 |
| 1841822194 | Sharon Njuguna | Nurse Practitioner | 8201 Shannon Hill Rd, Richmond, VA 23229-4911 | 2020-02-05 |
| 1780224543 | Uloma C Adiele | Nurse Practitioner | 3206 Organic Rise Ln, Richmond, TX 77406-2749 | 2020-01-09 |
| 1477102531 | Shanon Fitzpatrick Beam | Nurse Practitioner | Vcu Medical Center, 1250 East Marshall Street, Richmond, VA 23298 | 2019-09-10 |
| 1447710371 | Christine Le | Nurse Practitioner | 17134 Chalmers Close Ct, Richmond, TX 77407-1732 | 2019-03-25 |
| 1942765094 | Glaiza Micu Boado | Nurse Practitioner | 211 Riverway Bluff Ln, Richmond, TX 77406-2170 | 2019-02-04 |
| 1063976660 | Kelly Erin Mitchell | Nurse Practitioner | 7401 Beaufort Springs Dr, Suite 205, Richmond, VA 23225 | 2019-01-28 |
| Find all providers in RICHMOND | ||||
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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.