Active NPI
Candace Herrin, APRN-CNP
- Family Nurse Practitioner
- Guthrie, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R0099589
- Practice address
- 1201 S Division St
Guthrie, OK 73044-5021 - Phone
- (405) 293-4504
- NPI assigned
- Jun 29, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R0099589 | OK | Primary |
Addresses
Primary practice location
1201 S Division St
Guthrie, OK 73044-5021
Mailing address
890 S Sandpiper Nest
Choctaw, OK 73020-7012
Phone (405) 625-3873
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
13511 NE 23Rd St
Suite 140
Choctaw, OK 73020-8625
Phone (405) 591-3584
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0099589 | OK | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hometown Primary Care, PLLC | Current | Accepting new patients | |
| Williams Medical Group Practice, LLC | Current | Accepting new patients | |
| Williams Medical Group Practice, LLC | Current | Accepting new patients | |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients |
Locations
416 N Main St
Altus, OK 73521
Phone (580) 379-0325
13511 NE 23rd St
Ste 140
Choctaw, OK 73020
Phone (405) 591-3584
220 S Van Buren St
Enid, OK 73703
Phone (580) 234-9355
1201 S Division St
Guthrie, OK 73044
Phone (405) 293-4504
Organizations & group practices 4
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.
-
- Clinic/Center
- Choctaw, OK
- NPI 1942945910
-
- Family Medicine Physician
- Lawton, OK
- NPI 1346608809
-
- Rural Health Clinic/Center
- Collinsville, OK
- NPI 1215751508
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593388800000",
"number": "1114544871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "890 S SANDPIPER NEST",
"city": "CHOCTAW",
"state": "OK",
"postal_code": "730207012",
"telephone_number": "405-625-3873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 S DIVISION ST",
"city": "GUTHRIE",
"state": "OK",
"postal_code": "730445021",
"telephone_number": "405-293-4504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRIN",
"first_name": "CANDACE",
"credential": "APRN-CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-29",
"last_updated": "2020-06-29",
"certification_date": "2020-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "R0099589",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Guthrie, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.