Active NPI
Candice Watters Jones, M.D.
- Pediatrics Physician
- Orlando, FL
National Provider Identifier
1417002809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME109716
- Practice address
- 232 N Orange Blossom TRL
Orlando, FL 32805-1612 - Phone
- (407) 428-5751
- NPI assigned
- Jan 24, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | P 21397 | MD | |
| Pediatrics Physician | 208000000X | ME109716 | FL | Primary |
Addresses
Primary practice location
232 N Orange Blossom TRL
Orlando, FL 32805-1612
Mailing address
232 N Orange Blossom TRL
Orlando, FL 32805-1612
Phone (407) 428-5751
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P 21397 | Other | MD | UMP # |
| 114179600 | 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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME109716 | FL | MD | Pediatrics Physician |
| P 21397 | MD | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medical Center of West Volusia PA | Past | Accepting new patients | |
| Community Medical Center of West Volusia | Past | Accepting new patients | |
| Health Care Center for the Homeless Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Rural Health Clinic/Center
- Deland, FL
- NPI 1619046927
-
- Rural Health Clinic/Center
- Deland, FL
- NPI 1861579104
-
- Federally Qualified Health Center (FQHC)
- Orlando, FL
- NPI 1235213216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755043200000",
"number": "1417002809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "232 N ORANGE BLOSSOM TRL",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328051612",
"telephone_number": "407-428-5751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "232 N ORANGE BLOSSOM TRL",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328051612",
"telephone_number": "407-428-5751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "CANDICE",
"middle_name": "WATTERS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-24",
"last_updated": "2025-08-13",
"certification_date": "2025-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "P 21397",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME109716",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UMP #",
"identifier": "P 21397",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114179600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.