Kandyce L Silver

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN1104379 Issued in FL

Practice address

4495 Furling LN Ste 210
Destin, FL 32541-5423

Phone

(850) 460-8483

Fax

(833) 645-0014

NPI assigned

Jul 22, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Kandyce L Johnson Former name

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23217/brand/1/csg/1/fhir/r4
• Direct secure messaging: kandyce.silver.1@23217.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Women'S Health of the Emerald Coast LLC

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Destin, FL
  • NPI 1306382551
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1013580471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4495 FURLING LN STE 210",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325415423",
            "telephone_number": "850-460-8483",
            "fax_number": "833-645-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4495 FURLING LN STE 210",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325415423",
            "telephone_number": "850-460-8483",
            "fax_number": "833-645-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVER",
        "first_name": "KANDYCE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-22",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN1104379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KANDYCE",
            "last_name": "JOHNSON",
            "middle_name": "L",
            "credential": "LVN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Arlet Shelton
• Erica Chieun Shin, OD
• Jamie Shrewsbury, RN
• Maxcie Marie Sikora, M.D.
• Kate Elisabeth Silva, P.A.-C
• Morris Mitchell Silver, DO
• Bethany Paige Simms
• Julia Sprang Skinner, DMD
• Adrianne Ralph Smith, LMHC MH 15560
• Christina Lee Smith, PTA

• Nurse Practitioner in Destin, FL
• Providers in Destin, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.