CANDICE ELLIS (NPI# 1922531011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922531011 |
| Entity Type | Individual |
| Full Name | CANDICE ELLIS |
| Credential | APRN |
| Practice Address |
125 Amory St Boston MA 02119-1006 |
| Practice Telephone | 6039886792 |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 074678-21 | NH | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | 2310377 | MA | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | 074678-23 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
RN2310377 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 207 S Main St, Newmarket, NH 038571843 | 6036593106 | 6036598003 |
| 26 Folsom Dr., Newmarket, NH 03857 | 6039886792 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821156001 | Candice Capri Ellis | Acupuncturist | 181 Elliott St, 100 Cummings Center #321j, Beverly, MA 01915-6123 | 2006-12-04 |
| Street Address |
125 AMORY ST |
| City | BOSTON |
| State | MA |
| Zip Code | 02119-1006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427661644 | Christina Kim Hunt | Case Manager/Care Coordinator | 75 Amory St, Garden Level, Boston, MA 02119 | 2020-08-27 |
| 1962021089 | Taha Fathima Khan | Student in an Organized Health Care Education/Training Program | Boston Medical Center, 801 Albany Street, 3rd Floor, Department of Pediatrics, Boston, MA 02119 | 2020-04-09 |
| 1154957132 | Katherine Erin Douglas | Pediatrics | 801 Albany Street, 3rd Floor, Department of Pediatrics, Boston, MA 02119 | 2020-03-21 |
| 1720536568 | Ramy Y Barrett | Counselor | 77 Savin Street, Apartment # 3, Boston, MA 02119 | 2016-09-21 |
| 1083089676 | Natasha Cruz | Counselor | 263 Eustis Street, Roxbury, MA 02119 | 2015-12-08 |
| 1922478486 | Natalie Jones | Counselor | 520 Dudley St., Roxbury, MA 02119 | 2015-09-28 |
| 1922484799 | Dina Ghaly-habib | Student in an Organized Health Care Education/Training Program | 100 East Newton St., G-706, Boston, MA 02119 | 2015-08-04 |
| 1942697248 | Pyramid Builders | Case Management | 11 Roxbury Street, Boston, MA 02119 | 2015-04-24 |
| 1063810984 | Sophia Smalls | Counselor | 250 Walnut Ave, Apt. 10, Boston, MA 02119 | 2014-12-09 |
| 1750705059 | Alasa Hawkins | Counselor | 502 Dudley St, Roxbury, MA 02119 | 2014-02-07 |
| Find all providers in zip 02119 | ||||
| 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 |
|---|---|---|---|---|
| 1366058463 | Alexandra Paz | Nurse Practitioner | 55 Dartmouth St, Boston, MA 02116-5906 | 2020-09-23 |
| 1730795238 | Eun Chung Hong | Nurse Practitioner | 2 Sheldon St Apt 1, Boston, MA 02131-2613 | 2020-09-20 |
| 1306450309 | Latoya Browne | Nurse Practitioner | 33 Taunton Ave, Boston, MA 02136-6027 | 2020-09-07 |
| 1649897778 | Molly Rose | Nurse Practitioner | 118 Commonwealth Ave Apt 4, Boston, MA 02116-2901 | 2020-07-06 |
| 1528686680 | Stephanie Marie Devito | Nurse Practitioner | 55 Fruit Street, Ellison 16, Boston, MA 02114-0211 | 2020-07-06 |
| 1558988832 | Skyla Barnett | Nurse Practitioner | 21 Winfield St Apt 1, Boston, MA 02127-3485 | 2020-07-02 |
| 1871130831 | Sarah Chu | Nurse Practitioner | 5 Longfellow Pl Ste 209, Boston, MA 02114-2839 | 2019-12-09 |
| 1851935134 | Melissa Anne Coates | Nurse Practitioner | 330 Brookline Ave # Shapiro7, Boston, MA 02215-5400 | 2019-10-30 |
| 1992348502 | Paula Jeanne Mooney | Nurse Practitioner | 800 Washington St # 70, Boston, MA 02111-1552 | 2019-10-26 |
| 1538712997 | Valerie Kiers | Nurse Practitioner | 55 Fruit St Ste 3e, Boston, MA 02114-2696 | 2019-07-24 |
| Find all providers in BOSTON | ||||
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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.