Candace Victoria Donaldson, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11002881 Issued in FL

Practice address

3489 Highway 162
Bonifay, FL 32425-5825

Phone

(850) 373-8588

NPI assigned

Jul 1, 2019

Last updated

Jul 1, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northwest Florida Healthcare, Inc.Group PAC ID 2668363771, 37 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northwest Florida Community Hospital Hospital, Chipley, FL, CCN 101308

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: candace.donaldson.1@14612.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northwest Florida Healthcare, Inc

  • Critical Access Hospital
  • Chipley, FL
  • NPI 1336163708
  Medicare reassignment Care Compare group NPD
• Northwest Florida Healthcare, Inc

  • Medicare Defined Swing Bed Hospital Unit
  • Chipley, FL
  • NPI 1659438760
  NPD
• Northwest Florida Healthcare, Inc

  dba Northwest Florida Medical Group

  • Pediatrics Physician
  • Chipley, FL
  • NPI 1851458962
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Northwest Florida Healthcare, Inc

  • Critical Access Hospital
  • Chipley, FL
  • NPI 1336163708
  Care Compare affiliation

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

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561939200000",
    "number": "1235791047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3489 HIGHWAY 162",
            "city": "BONIFAY",
            "state": "FL",
            "postal_code": "324255825",
            "telephone_number": "850-373-8588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3489 HIGHWAY 162",
            "city": "BONIFAY",
            "state": "FL",
            "postal_code": "324255825",
            "telephone_number": "850-373-8588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONALDSON",
        "first_name": "CANDACE",
        "middle_name": "VICTORIA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-01",
        "last_updated": "2019-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11002881",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11002881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William R. Cook
• Traci Corbin, RN, DNP
• County of Holmes Office Clerk Board of County Commissioners (Holmes County Emergency Medical Services)
• Megan Dezan, PHARMD
• Dogwood Inns Assisted Living Facility Inc
• Dwight Counseling Service
• Lolita Ellis
• Family Dentistry of Bonifay
• Beverly Fendley
• Kelsey Danae Fentress, RD

• Family Nurse Practitioner in Bonifay, FL
• Providers in Bonifay, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; 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.

Verify at the official NPI Registry.