Active NPI
Candy Hull, PA-C
- Physician Assistant
- Redding, CA
National Provider Identifier
1154750347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 60547
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 017060-1 | NY | MD | Occupational Therapist |
| PA9111022 | FL | MD | Physician Assistant |
| 017060-01 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gracious Minds Counseling and Supervision Inc. | Past | Accepting new patients | |
| Akl Medical PC | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Psychiatry Physician
- Redding, CA
- NPI 1073919171
-
- Allergy & Immunology Physician
- Olean, NY
- NPI 1801447388
-
- Clinical Social Worker
- Houston, TX
- NPI 1144867292
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.