Individual provider Active NPI

Candace Hardy, CRNP

  • Nurse Practitioner
  • Huntsville, AL
National Provider Identifier
1023612058
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-36459 Issued in AL
Practice address
1 Hospital Dr SW Ste 302
Huntsville, AL 35801-3495
Phone
(256) 964-8947
Fax
(256) 715-1754
NPI assigned
Nov 30, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1-136459 AL
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X 1-36459 AL Primary

Addresses

Primary practice location

1 Hospital Dr SW Ste 302
Huntsville, AL 35801-3495

Mailing address

1 Hospital Dr SW Ste 302
Huntsville, AL 35801-3495
Phone (256) 964-8947

Other names 1

  • Candace Shardae Orr Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20260602003436 AL Practitioner - Nurse Practitioner 3375014152 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

778 Liberty Rd
Flowood, MS 39232-9321

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-136459ALMDRegistered Nurse
1-36459ALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Valley OB-GYN Clinic PC Single Specialty PastSince Aug 13, 2023 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1023612058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL DR SW STE 302",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013495",
            "telephone_number": "256-964-8947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL DR SW STE 302",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013495",
            "telephone_number": "256-964-8947",
            "fax_number": "256-715-1754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDY",
        "first_name": "CANDACE",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-30",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-136459",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-36459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CANDACE",
            "last_name": "ORR",
            "middle_name": "SHARDAE",
            "credential": "CRNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.