Candice Rose Dougan, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

834181 Issued in NY

Practice address

20 Kalmia LN
Valley Stream, NY 11581-2317

Phone

(917) 868-9237

NPI assigned

Dec 29, 2021

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1640736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1275293334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 KALMIA LN",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115812317",
            "telephone_number": "917-868-9237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 KALMIA LN",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115812317",
            "telephone_number": "917-868-9237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGAN",
        "first_name": "CANDICE",
        "middle_name": "ROSE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-29",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "834181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myrlande Dorestal
• Barry S Dorf, MD FACG
• Mirlaine P Doriscar
• Michelle Dorsaint
• Suzie Dorsainvil, OCCUP. THERAPIST
• Marjorie Douge-Moore
• Mirlene Douge
• Douglas J. Dukofsky, D.C.P.C.
• Mary J Downing, OTR
• Dr Herbert Ausubel

• Registered Nurse in Valley Stream, NY
• Providers in Valley Stream, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.