Individual provider Active NPI

Kandace Norris, RN

  • Registered Nurse
  • Panama City, FL
National Provider Identifier
1053959718
Registry record updated Dec 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN9399867 Issued in FL
Practice address
210 E 11TH St
Panama City, FL 32401-2939
Phone
(850) 872-7760
NPI assigned
Dec 12, 2019
Last updated
Dec 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9399867 FL Primary

Addresses

Primary practice location

210 E 11TH St
Panama City, FL 32401-2939

Mailing address

210 E 11TH St
Panama City, FL 32401-2939
Phone (850) 872-7760

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Kandace.norris@gulfcoastsap.org
Direct Messaging Address Kandace.norris@gulfcoastsap.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN9399867FLMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Children's Advocacy Center, Inc. CurrentSince Sep 23, 2024 Accepting new patients

Locations

210 E 11th St
Panama City, FL 32401
Phone (850) 872-7760

Interoperability endpoints

  • Direct secure messaging: kandace.norris@gulfcoastsap.org

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": "1576108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1053959718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 E 11TH ST",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324012939",
            "telephone_number": "850-872-7760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E 11TH ST",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324012939",
            "telephone_number": "850-872-7760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORRIS",
        "first_name": "KANDACE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-12",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9399867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kandace.norris@gulfcoastsap.org",
            "affiliation": "N",
            "address_1": "210 E 11th St",
            "city": "Panama City",
            "state": "FL",
            "country_code": "US",
            "postal_code": "324012939",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kandace.norris@gulfcoastsap.org",
            "affiliation": "N",
            "address_1": "210 E 11th St",
            "city": "Panama City",
            "state": "FL",
            "country_code": "US",
            "postal_code": "324012939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.