Candias Smith, FNP-APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2017000440 Issued in MO

Practice address

5471 Dr Martin Luther King Dr
Saint Louis, MO 63112-4265

Phone

(314) 367-5820

Fax

(314) 367-7010

NPI assigned

Mar 16, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

State licenses

Practice roles

Locations

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.

• Dedicated Missouri Holding, LLC

  • Internal Medicine Physician
  • Miami Gardens, FL
  • NPI 1053958082

  MO

  Medicare reassignment
• Dedicated Missouri Holding, LLC

  • Non-Pharmacy Dispensing Site
  • Saint Louis, MO
  • NPI 1164276523
  NPD

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

{
    "created_epoch": "1521158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1063915015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10990 NEW HALLS FERRY RD STE 1",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631364471",
            "telephone_number": "314-788-6444",
            "fax_number": "314-788-6504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5471 DR MARTIN LUTHER KING DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631124265",
            "telephone_number": "314-367-5820",
            "fax_number": "314-367-7010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10990 New Halls Ferry Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631364471",
            "country_code": "US",
            "telephone_number": "314-788-6444",
            "fax_number": "314-788-6504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CANDIAS",
        "name_prefix": "Ms.",
        "credential": "FNP-APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-16",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "F1116333",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2017000440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barry Joe Smith, MD
• Beverly J Smith
• Brittany Nicole Smith, MA, LPC
• Brooke Elizabeth Smith, DPT
• Candace Yvette Smith
• Carolyn Anne Smith, MD
• Carolyn H Smith, RNP
• Carrie Smith
• Carrie Ellen Smith, FNP
• Cassie N Smith, FNP-BC

• Family Nurse Practitioner in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; 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.