Candace Letara Farrar

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

5019249 Issued in NC

Practice address

1380 Eastchester Dr Ste 103
High Point, NC 27265-2660

Phone

(336) 521-9480

Fax

(336) 232-1762

NPI assigned

Dec 11, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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.

• Horizon Internal Medicine PLLC

  • Internal Medicine Physician
  • High Point, NC
  • NPI 1033353941
  Medicare reassignment NPD
• NC Elder Care PLLC

  • Internal Medicine Physician
  • High Point, NC
  • NPI 1962948240
  NPD

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1144097023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 EASTCHESTER DR STE 103",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272652660",
            "telephone_number": "336-521-9480",
            "fax_number": "336-232-1762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 EASTCHESTER DR STE 103",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272652660",
            "telephone_number": "336-521-9480",
            "fax_number": "336-232-1762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRAR",
        "first_name": "CANDACE",
        "middle_name": "LETARA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-11",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NC",
            "license": "5019249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Service of the Piedmont, Inc
• Family Service of the Piedmont, Inc.
• Anthony Carl Fappiano, DO
• Amjad Ryad Faraj
• Umer Farooq
• Brenda R Farrell, RN
• Shamekia Farrell
• Sandra Gregory Faucette, PHARMD
• Sheritia Tijuana Faulcon, MD
• Deborah Hill Faulconer, RN

• Gerontology Nurse Practitioner in High Point, NC
• Providers in High Point, NC by specialty
• Gerontology Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; 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.