Individual provider Active NPI

Candace Lauren Tavzel

  • Student in an Organized Health Care Education/Training Program
  • Youngstown, OH
National Provider Identifier
1295527083
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
658 Wick Ave RM 315
Youngstown, OH 44502-1215
Phone
(505) 717-5318
Fax
(505) 717-5318
NPI assigned
May 19, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

658 Wick Ave RM 315
Youngstown, OH 44502-1215

Mailing address

658 Wick Ave RM 315
Youngstown, OH 44502-1215
Phone (505) 717-5318

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

NPI Registry JSON

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

{
    "created_epoch": "1747612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1295527083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "658 WICK AVE RM 315",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445021215",
            "telephone_number": "505-717-5318",
            "fax_number": "505-717-5318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "658 WICK AVE RM 315",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445021215",
            "telephone_number": "505-717-5318",
            "fax_number": "505-717-5318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVZEL",
        "first_name": "CANDACE",
        "middle_name": "LAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-19",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; 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.