Active NPI
Candice Owings, NP
- Family Nurse Practitioner
- Port St Lucie, FL
National Provider Identifier
1366995995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP9469509
- Practice address
- 1095 NW Saint Lucie West Blvd Ste 106
Port St Lucie, FL 34986 - Phone
- (772) 785-5505
- Fax
- (772) 785-5599
- NPI assigned
- Aug 1, 2016
- Last updated
- Oct 14, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 21514 | TN | |
| Family Nurse Practitioner | 363LF0000X | ARNP9469509 | FL | Primary |
Addresses
Primary practice location
1095 NW Saint Lucie West Blvd Ste 106
Port St Lucie, FL 34986
Mailing address
PO Box 417
Stuart, FL 34995-0417
Phone (772) 223-2832
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C6TFK | Other | FL | FLORIDA BLUE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cowings52815@direct.martinhealth.org |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9469509 | FL | MD | Family Nurse Practitioner |
| 21514 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Euclid Hospital Cleveland Clinic Health System | Current | Accepting new patients |
Interoperability endpoints
- cowings2496277@direct.ccf.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba cleveland clinic foundation
- General Acute Care Hospital
- Euclid, OH
- NPI 1457403016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602633600000",
"number": "1366995995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 417",
"city": "STUART",
"state": "FL",
"postal_code": "349950417",
"telephone_number": "772-223-2832",
"fax_number": "772-223-5653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1095 NW SAINT LUCIE WEST BLVD STE 106",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "34986",
"telephone_number": "772-785-5505",
"fax_number": "772-785-5599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWINGS",
"first_name": "CANDICE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-01",
"last_updated": "2020-10-14",
"certification_date": "2020-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "21514",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP9469509",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA BLUE",
"identifier": "C6TFK",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cowings52815@direct.martinhealth.org",
"affiliation": "N",
"address_1": "1095 NW Saint Lucie West Blvd Ste 106",
"city": "Port St Lucie",
"state": "FL",
"country_code": "US",
"postal_code": "34986",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.