Active NPI
Candace Kay Brantley
- Nurse Massage Therapist (NMT)
- Springdale, AR
National Provider Identifier
1336055649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Massage Therapist (NMT)
- License
- R083121
- Practice address
- 429 Gascony Ave
Springdale, AR 72764-7574 - Phone
- (479) 750-8777
- Fax
- (479) 306-4250
- NPI assigned
- Aug 19, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Massage Therapist (NMT) | 163WM1400X | R083121 | AR | Primary |
Addresses
Primary practice location
429 Gascony Ave
Springdale, AR 72764-7574
Mailing address
429 Gascony Ave
Springdale, AR 72764-7574
Phone (479) 750-8777
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": "1787097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787097600000",
"number": "1336055649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "429 GASCONY AVE",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727647574",
"telephone_number": "479-750-8777",
"fax_number": "479-306-4250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "429 GASCONY AVE",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727647574",
"telephone_number": "479-750-8777",
"fax_number": "479-306-4250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANTLEY",
"first_name": "CANDACE",
"middle_name": "KAY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-19",
"last_updated": "2026-08-19",
"certification_date": "2026-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "163WM1400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Nurse Massage Therapist (NMT)",
"state": "AR",
"license": "R083121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springdale, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.