Active NPI
Candace Koney-Laryea
- Anesthesiology Physician
- Hudson, FL
National Provider Identifier
1376512319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- ME90158
- Practice address
- 14000 Fivay Rd
Hudson, FL 34667 - Phone
- (727) 861-5155
- NPI assigned
- Mar 14, 2006
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | ME90158 | FL | Primary |
Addresses
Primary practice location
14000 Fivay Rd
Hudson, FL 34667
Mailing address
5424 Grand Blvd
New Port Richey, FL 34652
Phone (727) 845-1736
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 271759000 | Medicaid | FL |
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
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gulf Coast Anesthesia Associates Inc | Anesthesiology | Past | Accepting new patients |
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.
-
- Anesthesiology Physician
- Port Charlotte, FL
- NPI 1003859471
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482969600000",
"number": "1376512319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5424 GRAND BLVD",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "34652",
"telephone_number": "727-845-1736",
"fax_number": "727-849-0759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14000 FIVAY RD",
"city": "HUDSON",
"state": "FL",
"postal_code": "34667",
"telephone_number": "727-861-5155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KONEY-LARYEA",
"first_name": "CANDACE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-14",
"last_updated": "2016-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME90158",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "271759000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hudson, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.