Individual provider Active NPI

Candice A Sexil, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Riverview, FL
National Provider Identifier
1356944276
Registry record updated Nov 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11010081 Issued in FL
Practice address
11137 Irish Moss Ave
Riverview, FL 33569-2223
Phone
(813) 863-7356
NPI assigned
Nov 21, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11010081 FL Primary

Addresses

Primary practice location

11137 Irish Moss Ave
Riverview, FL 33569-2223

Mailing address

11137 Irish Moss Ave
Riverview, FL 33569-2223
Phone (813) 863-7356

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260501001666 FL Practitioner - Nurse Practitioner 7517435134 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6900 Dallas Pkwy
Suite 608
Plano, TX 75024-4198

6900 Dallas Pkwy
Suite 608
Plano, TX 75024-4200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11010081FLMDPsychiatric/Mental Health Nurse Practitioner

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": "1605916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605916800000",
    "number": "1356944276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11137 IRISH MOSS AVE",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335692223",
            "telephone_number": "813-863-7356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11137 IRISH MOSS AVE",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335692223",
            "telephone_number": "813-863-7356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEXIL",
        "first_name": "CANDICE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-21",
        "last_updated": "2020-11-21",
        "certification_date": "2020-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11010081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

Verify at the official NPI Registry.