Active NPI
Candice Megan Williams
- Licensed Practical Nurse
- Middletown, OH
National Provider Identifier
1194366583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- LPN.162797.MEDS-IV
- Practice address
- 160 N Breiel Blvd
Middletown, OH 45042-3806 - Phone
- (513) 941-4999
- Fax
- (513) 694-0168
- NPI assigned
- Oct 7, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LPN.162797.MEDS-IV | OH | Primary |
Addresses
Primary practice location
160 N Breiel Blvd
Middletown, OH 45042-3806
Mailing address
6460 Harrison Ave Ste 200
Cincinnati, OH 45247-7958
Phone (513) 941-4999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0373455 | Medicaid | OH |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPN.162797.MEDS-IV | OH | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682035200000",
"number": "1194366583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6460 HARRISON AVE STE 200",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452477958",
"telephone_number": "513-941-4999",
"fax_number": "513-694-0168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 N BREIEL BLVD",
"city": "MIDDLETOWN",
"state": "OH",
"postal_code": "450423806",
"telephone_number": "513-941-4999",
"fax_number": "513-694-0168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "CANDICE",
"middle_name": "MEGAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-07",
"last_updated": "2023-04-21",
"certification_date": "2023-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "LPN.162797.MEDS-IV",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0373455",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Middletown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.