Candace L Tillman, DNP. APRN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3014957 Issued in KY

Practice address

1209 W Everly Brothers Blvd
Central City, KY 42330-1823

Phone

(270) 977-3613

NPI assigned

Aug 18, 2020

Last updated

Jan 9, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1144832593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 W EVERLY BROTHERS BLVD",
            "city": "CENTRAL CITY",
            "state": "KY",
            "postal_code": "423301823",
            "telephone_number": "270-977-3613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 W EVERLY BROTHERS BLVD",
            "city": "CENTRAL CITY",
            "state": "KY",
            "postal_code": "423301823",
            "telephone_number": "270-977-3613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLMAN",
        "first_name": "CANDACE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DNP. APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-18",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3014957",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "3014957",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Stewart, M.ED
• Evan M Sweeney, PHARMD
• Carson Teague, APRN
• Alyssa Marie Thomas
• Tillman Family Chiropractic
• Randall Tillman, D.C.
• Hollie Michelle Tooley, MS CCC-SLP
• Timothy R Underwood, D.M.D.
• Dayna Yvette Utley
• Dana Vice, LCSW

• Family Nurse Practitioner in Central City, KY
• Providers in Central City, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.