Individual provider Active NPI

Candy Hull, PA-C

  • Physician Assistant
  • Redding, CA
National Provider Identifier
1154750347
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
60547 Issued in CA
Practice address
1742 Oregon St
Redding, CA 96001-1717
Phone
(530) 646-7269
Fax
(530) 262-6849
NPI assigned
Nov 7, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9111022 FL
Physician Assistant 363A00000X 017060-01 NY
Physician Assistant 363A00000X 60547 CA Primary

Addresses

Primary practice location

1742 Oregon St
Redding, CA 96001-1717

Mailing address

2165 Larkspur LN
Redding, CA 96002-0600
Phone (530) 226-7419

Other practice location 1

19012 SW 100th Pl
Dunnellon, FL 34432-4267
Phone (814) 596-2373

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20140109001241 NY Practitioner - Physician Assistant 7113155599
I20150713000878 NY Practitioner - Registered Dietitian Or Nutrition Professional 7113155599
I20230411001597 CA Practitioner - Physician Assistant 7113155599 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Native American Mental Health Services CorporationGroup PAC ID 5395072490, 62 clinicians

Practice addresses (Care Compare)

2400 Washington Ave
Suite 220
Redding, CA 96001-2839
Phone (530) 722-4942

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
017060-1NYMDOccupational Therapist
PA9111022FLMDPhysician Assistant
017060-01NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Gracious Minds Counseling and Supervision Inc. PastSince Sep 20, 2021 Accepting new patients
Akl Medical PC PastSince Sep 29, 2019 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: nurocoach.candyhull@153052.advancedmd-direct.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1154750347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2165 LARKSPUR LN",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960020600",
            "telephone_number": "530-226-7419",
            "fax_number": "530-262-6849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1742 OREGON ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960011717",
            "telephone_number": "530-646-7269",
            "fax_number": "530-262-6849"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19012 SW 100th Pl",
            "address_purpose": "LOCATION",
            "city": "Dunnellon",
            "state": "FL",
            "postal_code": "344324267",
            "country_code": "US",
            "telephone_number": "814-596-2373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HULL",
        "first_name": "CANDY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-07",
        "last_updated": "2024-02-15",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9111022",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "017060-01",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "60547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.