CANDACE SMITH (NPI# 1922559111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922559111 |
| Entity Type | Individual |
| Full Name | CANDACE SMITH |
| Practice Address |
1638 Owen Dr Fayetteville NC 28304-3424 |
| Practice Telephone | 9106154000 |
| Enumeration Date | 2016-10-22 |
| Last Update Date | 2016-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 113398 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841771755 | Candace Nichole Smith | Behavior Technician | 1907 Tyrone Blvd N # 274, St Petersburg, FL 33710-4841 | 2018-08-28 |
| 1760972632 | Candace Lee Smith | Physical Therapy Assistant | 3913 Thousand Oaks Dr, Jonesboro, AR 72404-0717 | 2018-05-16 |
| 1457779316 | Candace Smith | Nurse Practitioner | 2513 Otter Totem Ct, St Augustine, FL 32092-2445 | 2014-03-28 |
| 1811333891 | Candace Grace Smith | Counselor | 10800 State Highway 151 Apt 1113, San Antonio, TX 78251-4216 | 2013-05-16 |
| 1497800361 | Candace Lee Smith | Pediatrics | 1020 Old Metairie Pl, Metairie, LA 70001-6300 | 2007-01-23 |
| 1699311555 | Candace Smith | Behavior Technician | 25115 Avenue Stanford Ste A100, Valencia, CA 91355-1290 | 2019-11-25 |
| 1760037956 | Candace Christine Smith | Technician, Other | 1150 E Sequoia Ave, Tulare, CA 93274-4508 | 2019-08-05 |
| 1750948980 | Candace Larae Smith | Massage Therapist | 925 8th Ave N, Seattle, WA 98109-6304 | 2019-05-22 |
| 1285112029 | Candace Smith | Behavior Technician | 2840 Henderson Dr, Jacksonville, NC 28546-5242 | 2018-08-03 |
| 1790148385 | Candace Yvette Smith | Emergency Medicine | 3635 Vista Ave, Slu Division of Emergency Medicine, Saint Louis, MO 63110-2539 | 2016-03-31 |
| Street Address |
1638 OWEN DR |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28304-3424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821091851 | Cumberland County Hospital System, Inc | General Acute Care Hospital | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2005-05-23 |
| 1265032536 | Heidi Ellen Jumbercotta | Internal Medicine | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2020-10-27 |
| 1346848306 | Jessica Hooten | Nurse Practitioner | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2020-10-13 |
| 1881200665 | Kathleen Macalalag | Pharmacist | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2020-09-17 |
| 1790395523 | Anna Caitlyn Felmer | Pharmacist | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2020-08-06 |
| 1427668359 | Benjamin Josiah Tutterow | Pharmacist | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2020-08-05 |
| 1063022994 | George Thomas Sessoms IIi | Pharmacist | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2020-08-05 |
| 1437769759 | Teresa Cooper Jones | Pharmacist | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2020-08-01 |
| 1881202901 | Chantel Davis | Specialist/Technologist, Other | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2020-07-15 |
| 1194333237 | Alyssa Worley | Occupational Therapy Assistant | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2020-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301061 | Coast To Coast Bilingual Counseling | Social Worker | 910 Hope Mills Road, Fayetteville, NC 28304 | 2019-11-20 |
| 1811530561 | Frances L. Hurst | Technician | 6732 Carloway Dr, Fayetteville, NC 28304 | 2019-10-25 |
| 1538717764 | Rose Mary A O'conner | Technician | 3530 Madison Ave, Fayetteville, NC 28304 | 2019-08-30 |
| 1932756087 | Sally Frances Jones | Technician | 2053 Mango Circle, Fayetteville, NC 28304 | 2019-08-23 |
| 1326528803 | Jeneen Yvette Townsend | Counselor | 2671 Adams Lake Dr Apt F, Fayetteville, NC 28304 | 2018-08-15 |
| 1780179580 | Ma Cornelia Villavicencio Leano | Nurse Practitioner | 3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304 | 2018-06-25 |
| 1861986267 | Pediatric After Hours Care of Fayetteville | Pediatrics | 556 Sandhurst Drive, Fayetteville, NC 28304 | 2018-06-19 |
| 1700386133 | Good Night Medical of Ohio, LLC | Durable Medical Equipment & Medical Supplies | 405 Owen Dr Ste 202, Fayetteville, NC 28304 | 2018-02-12 |
| 1003321365 | Valleygate Dental Surgery Center of Fayetteville, LLC | Dentist | 2038 Litho Place, Fayetteville, NC 28304 | 2017-12-08 |
| 1871004663 | The Salt Project | Marriage & Family Therapist | 1611-b Owen Dr., Fayetteville, NC 28304 | 2017-10-19 |
| Find all providers in zip 28304 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (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. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902414584 | Kevin Hannah, LLC | Nurse Anesthetist, Certified Registered | 11446 Mountain Spring Dr, Fayetteville, AR 72701-0422 | 2020-07-20 |
| 1699327841 | Mana Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | 3344 N Futrall Dr Ste 3, Fayetteville, AR 72703-4057 | 2019-07-09 |
| 1790256931 | Change of Life Companion Homecare LLC | Nurse Anesthetist, Certified Registered | 401 Topaz Trail, Peachtree City, Fayetteville, GA 30269 | 2018-12-16 |
| 1922522523 | The Kendall Anesthesia Group, LLC | Nurse Anesthetist, Certified Registered | 3490 E Fredricksburg Cir, Fayetteville, AR 72703-4821 | 2017-07-26 |
| 1184084485 | Sharp Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 1246 Beckwith Rd, Fayetteville, WV 25840-9575 | 2016-02-29 |
| 1780997833 | Laura Jane Simmons | Nurse Anesthetist, Certified Registered | 260 Lakemont Dr, Fayetteville, GA 30215-2344 | 2010-07-19 |
| 1013235142 | Amanda Lavon Delsoto | Nurse Anesthetist, Certified Registered | 3271 Wimberly Dr, Fayetteville, AR 72703-4033 | 2010-05-13 |
| 1275793515 | Caryn Marie Festa | Nurse Anesthetist, Certified Registered | 3509 Sugar Cane Cir, Fayetteville, NC 28303-4637 | 2008-06-10 |
| 1861669806 | Jessica Marie Colombo | Nurse Anesthetist, Certified Registered | 3202 Boone Trl, Fayetteville, NC 28306-2134 | 2008-05-09 |
| 1194901058 | Brandi Lynn Lane | Nurse Anesthetist, Certified Registered | 3394 N Futrall Dr Ste 2, Fayetteville, AR 72703-3937 | 2008-01-10 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28304 |
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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.