CANDY C MARSHALL (NPI# 1912920844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912920844 |
| Entity Type | Individual |
| Full Name | CANDY C MARSHALL |
| Credential | CFNP |
| Practice Address |
2620 Russell Long Blvd Canyon TX 79016 |
| Practice Telephone | 8066513287 |
| Practice Fax Number | 8066513289 |
| Mailing Telephone | 8066513287 |
| Mailing Fax Number | 8066513289 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2008-12-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 517366 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 8Y8342 | 01 |
| Street Address |
2620 RUSSELL LONG BLVD |
| City | CANYON |
| State | TX |
| Zip Code | 79016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013240340 | Ann S Wallace | Speech-Language Pathologist | 2620 Russell Long Blvd, Vhac 242, Dept. of Comm. Dis., Canyon, TX 79016-0001 | 2009-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811400666 | Tracey Dianne Ecklund | Student in an Organized Health Care Education/Training Program | 2620 Russel Long Blvd, Canyon, TX 79016-0001 | 2017-11-14 |
| 1689014326 | Lorna Strong | Specialist/Technologist | 2342 Russell Long Blvd, Virgil Henson Activities Center 217, Canyon, TX 79016-0001 | 2013-06-26 |
| 1235387184 | Traci B Fredman | Speech-Language Pathologist | 2501 4th Ave, Canyon, TX 79016-0001 | 2008-09-04 |
| 1790971224 | Sally Lynn Gaines | Student in an Organized Health Care Education/Training Program | West Texas A & M University, Old Main, Room 308-a, Canyon, TX 79016-0001 | 2007-09-19 |
| 1639394984 | Robby Douglas Rhodes | Specialist/Technologist | 60216 Wtamu, Canyon, TX 79016-0001 | 2007-04-13 |
| 1992869929 | James Edward Gibbs | Family Medicine | Student Medical Services, 2620 Russell Long Blvd., Canyon, TX 79016-0001 | 2006-12-21 |
| 1407967599 | West Texas A&m University Student Medical Services | Clinic/Center | 2620 N Russel Long Blvd, Virgil Henson Activities Center Room 104, Canyon, TX 79016-0001 | 2006-08-31 |
| 1245341692 | Wendy L Bertram | Nurse Practitioner | 2620 N. Russell Long Blvd, Canyon, TX 79016-0001 | 2006-08-31 |
| 1376526129 | Karen Elizabeth Knapp | Nurse Practitioner | Wt Box 61401, Canyon, TX 79016-0001 | 2005-11-25 |
| 1912410762 | Heather Ann Ferrell | Specialist/Technologist | 2620 Russel Long Blvd, Canyon, TX 79016-0001 | 2017-11-14 |
| Find all providers in zip 79016 | ||||
| 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 |
|---|---|---|---|---|
| 1326411679 | Teresa Ann Smith | Nurse Practitioner | 301 N 23rd St Ste C, Canyon, TX 79015-3058 | 2015-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992306245 | Julie Gunnarson | Nurse Practitioner | 435 Tioga St, Burleson, TX 76028-8197 | 2020-11-03 |
| 1033710488 | Angela Renee Aston | Nurse Practitioner | 805 Kelly Creek, Bulverde, TX 78163 | 2020-11-03 |
| 1629678347 | Prime Telecare LLC | Nurse Practitioner | 2251 Bagdad Rd Unit 102, Cedar Park, TX 78613-6521 | 2020-10-30 |
| 1063012508 | Kelsey Jean Reisch | Nurse Practitioner | 5001 Orleans Cir, Rowlett, TX 75088-6175 | 2020-10-26 |
| 1124628557 | Jessica Buchanan | Nurse Practitioner | 212 Sheridan Loop, Belton, TX 76513-8024 | 2020-10-26 |
| 1811596323 | Rachel Christine Jarrell | Nurse Practitioner | 10080 Research Forest Dr, The Woodlands, TX 77354-6780 | 2020-10-26 |
| 1356940837 | Katherine Anna Nack | Nurse Practitioner | 6100 Harris Pkwy Ste 285, Fort Worth, TX 76132-4127 | 2020-10-26 |
| 1558960104 | Suzette Roberts | Nurse Practitioner | 2505 Pebble Lodge Ln, Friendswood, TX 77546-5587 | 2020-10-23 |
| 1982203675 | Ilse Deyanire Trevino | Nurse Practitioner | 6233 Tepepan Dr, Brownsville, TX 78521-7135 | 2020-10-22 |
| 1629677612 | Laurel Sunde | Nurse Practitioner | 11111 Research Blvd-ll2, Austin, TX 78759 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
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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.