Individual provider Active NPI

Candace Michelle Arnold, PSS

  • Peer Specialist
  • Salem, OR
National Provider Identifier
1174064893
Registry record updated Mar 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Practice address
1300 Broadway St NE
Suite 403
Salem, OR 97301-1420
Phone
(503) 363-8068
Fax
(503) 390-3161
NPI assigned
Mar 14, 2017
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPPES NPI Registry

Updated by the provider on Mar 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X OR Primary

Addresses

Primary practice location

1300 Broadway St NE
Suite 403
Salem, OR 97301-1420

Mailing address

1673 Skyline Way S
Salem, OR 97306-2002
Phone (503) 983-3348

NPI Registry JSON

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521590400000",
    "number": "1174064893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1673 SKYLINE WAY S",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973062002",
            "telephone_number": "503-983-3348",
            "fax_number": "503-390-3161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 BROADWAY ST NE",
            "address_2": "SUITE 403",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973011420",
            "telephone_number": "503-363-8068",
            "fax_number": "503-390-3161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "CANDACE",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "PSS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-14",
        "last_updated": "2018-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; 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.