Candace Marie Herzog, MS, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT07300 Issued in TX

Practice address

4516 109TH St
Lubbock, TX 79424-5792

Phone

(832) 465-5908

NPI assigned

Mar 31, 2010

Last updated

Mar 31, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1269993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269993600000",
    "number": "1316262421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4516 109TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794245792",
            "telephone_number": "832-465-5908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4516 109TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794245792",
            "telephone_number": "832-465-5908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERZOG",
        "first_name": "CANDACE",
        "middle_name": "MARIE",
        "credential": "MS, RD, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-31",
        "last_updated": "2010-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT07300",
            "primary": true
        },
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "TX",
            "license": "DT07300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel B Herrera, M.D.
• Savannah Herridge, RBT
• Nadia Leylani Herringshaw, RD, LD
• Holly Noel Herrington
• Tina K Herston, DPT
• Kristi Hesco, OTR
• Autumn Leigh Heseman, MS SLP/INTERN
• Kellie Hetherington, DPM
• Madeline Hettick
• Nathan Een Heyborne, OD

• Registered Dietitian in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2010; 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.