Individual provider Active NPI

Candy Nathe, CMT

  • Community Health Worker
  • Alexandria, MN
National Provider Identifier
1346551843
Registry record updated Jun 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
CERTIFIED Issued in MN
Practice address
901 Highway 29 N
Suite 105
Alexandria, MN 56308-5011
Phone
(320) 766-0345
NPI assigned
Jun 30, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X CERTIFIED MN Primary

Addresses

Primary practice location

901 Highway 29 N
Suite 105
Alexandria, MN 56308-5011

Mailing address

901 Highway 29 N
Suite 105
Alexandria, MN 56308-5011
Phone (320) 766-0345

Other identifiers 1

IdentifierTypeStateIssuer
71479OtherMNWORKERS COMP

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

State licenses

LicenseStateTypeSpecialty
CERTIFIEDMNMDRadiological Physics Physician

NPI Registry JSON

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277856000000",
    "number": "1346551843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 HIGHWAY 29 N",
            "address_2": "SUITE 105",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563085011",
            "telephone_number": "320-766-0345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 HIGHWAY 29 N",
            "address_2": "SUITE 105",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563085011",
            "telephone_number": "320-766-0345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATHE",
        "first_name": "CANDY",
        "credential": "CMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-30",
        "last_updated": "2010-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "MN",
            "license": "CERTIFIED",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMP",
            "identifier": "71479",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.