Individual provider Active NPI

Lori Candela

  • Family Nurse Practitioner
  • Henderson, NV
National Provider Identifier
1285030619
Registry record updated Sep 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
000873 Issued in NV
Practice address
400 Palo Verde Dr.
(Portable C-128)
Henderson, NV 89101-7638
Phone
(702) 799-0508
Fax
(702) 799-0510
NPI assigned
Nov 12, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 000873 NV Primary

Addresses

Primary practice location

400 Palo Verde Dr.
(Portable C-128)
Henderson, NV 89101-7638

Mailing address

400 Palo Verde Dr
(Portable C-128)
Henderson, NV 89015-6028
Phone (702) 799-0508

Other names 1

  • Lori Leann Candela Other name

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
000873NVMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1415750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472774400000",
    "number": "1285030619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 PALO VERDE DR",
            "address_2": "(PORTABLE C-128)",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890156028",
            "telephone_number": "702-799-0508",
            "fax_number": "702-799-0510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 PALO VERDE DR.",
            "address_2": "(PORTABLE C-128)",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "891017638",
            "telephone_number": "702-799-0508",
            "fax_number": "702-799-0510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANDELA",
        "first_name": "LORI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-12",
        "last_updated": "2016-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "000873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "CANDELA",
            "middle_name": "LEANN",
            "credential": "FNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; 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.