Candace Cervantes

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

2016016601 Issued in MO

Practice address

21 Corporate Woods, 10870 Benson Drive #2160
Overland Park, KS 66210

Phone

(833) 357-3227

NPI assigned

Jul 20, 2016

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ccervantes@landmarkhealth-direct.org

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.

• Crossroads Hospice of Kansas City LC

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Independence, MO
  • NPI 1841907284
  NPD

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1194178632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14310 E 42ND ST S",
            "address_2": "UNIT 600",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640557308",
            "telephone_number": "816-333-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 CORPORATE WOODS, 10870 BENSON DRIVE #2160",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66210",
            "telephone_number": "833-357-3227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14310 E 42nd St S",
            "address_2": "Unit 600",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "MO",
            "postal_code": "640557308",
            "country_code": "US",
            "telephone_number": "816-333-9200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9229 Ward Pkwy Ste 380",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641145471",
            "country_code": "US",
            "telephone_number": "816-319-4785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CERVANTES",
        "first_name": "CANDACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-20",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2016016601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Centered Mind LLC
• Centerwell Certified Healthcare Corp.
• Centerwell Senior Primary Care KS PA
• Cerebral Unlimited LLC
• Anael Cereceres
• Chad a. Bowles D.D.S., P.a.
• Rebecca Leigh Chain, M.D.
• Teresa Lynn Chalker, MSW, LCSW
• Challenges, Inc
• Mitchell Challis

• All providers in Overland Park, KS
• Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; 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.