Individual provider Active NPI

Candice C Erstad, MS, RD

  • Registered Dietitian
  • Phoenix, AZ
National Provider Identifier
1326349275
Registry record updated Jul 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
2850 N 24TH St
Phoenix, AZ 85008-1004
Phone
(602) 266-5976
Fax
(602) 274-8952
NPI assigned
Nov 9, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Primary

Addresses

Primary practice location

2850 N 24TH St
Phoenix, AZ 85008-1004

Mailing address

2850 N 24TH St
Phoenix, AZ 85008-1004
Phone (602) 266-5976

Other practice location 1

4530 E Ray Rd Ste 125
Phoenix, AZ 85044-6096
Phone (480) 759-9191

Other identifiers 1

IdentifierTypeStateIssuer
799494MedicaidAZ

Other names 1

  • Candice R Candelaria Former 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
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Children'S Hospital Hope Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: candice.erstad.1@14294.direct.athenahealth.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1289260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1326349275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 N 24TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850081004",
            "telephone_number": "602-266-5976",
            "fax_number": "602-274-8952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 N 24TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850081004",
            "telephone_number": "602-266-5976",
            "fax_number": "602-274-8952"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4530 E Ray Rd Ste 125",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850446096",
            "country_code": "US",
            "telephone_number": "480-759-9191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERSTAD",
        "first_name": "CANDICE",
        "middle_name": "C",
        "credential": "MS, RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-09",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "799494",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CANDICE",
            "last_name": "CANDELARIA",
            "middle_name": "R",
            "credential": "MS, RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; 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.