Individual provider Active NPI

Candida D Hoggarth-Baldwin, FNP

  • Family Nurse Practitioner
  • Jamestown, ND
National Provider Identifier
1033556295
Registry record updated May 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R33327 Issued in ND
Practice address
2605 Circle Dr
North Dakota State Hospital
Jamestown, ND 58401-6905
Phone
(701) 253-3650
Fax
(701) 253-3999
NPI assigned
May 29, 2013
Last updated
May 29, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R33327 ND Primary

Addresses

Primary practice location

2605 Circle Dr
North Dakota State Hospital
Jamestown, ND 58401-6905

Mailing address

2605 Circle Dr
North Dakota State Hospital
Jamestown, ND 58401-6905
Phone (701) 253-3650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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
I20140702000647 ND Practitioner - Nurse Practitioner 0749405967 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Dakota State HospitalGroup PAC ID 5698734374, 9 clinicians

Practice addresses (Care Compare)

2605 Circle Dr
Jamestown, ND 58401-6905
Phone (701) 253-3650

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1369785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369785600000",
    "number": "1033556295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 CIRCLE DR",
            "address_2": "NORTH DAKOTA STATE HOSPITAL",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584016905",
            "telephone_number": "701-253-3650",
            "fax_number": "701-253-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 CIRCLE DR",
            "address_2": "NORTH DAKOTA STATE HOSPITAL",
            "city": "JAMESTOWN",
            "state": "ND",
            "postal_code": "584016905",
            "telephone_number": "701-253-3650",
            "fax_number": "701-253-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGGARTH-BALDWIN",
        "first_name": "CANDIDA",
        "middle_name": "D",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-29",
        "last_updated": "2013-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ND",
            "license": "R33327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, ND

Sources for this page

Verify at the official NPI Registry.