Candis M Toothman, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

73558 Issued in WV

Practice address

597 Libert Street
Suite 15
West Milford, WV 26451

Phone

(304) 745-4568

Fax

(304) 326-3700

NPI assigned

Oct 23, 2014

Last updated

Aug 19, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WV

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: candis.toothman@mvahealth.directbygreenway.com

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.

• Monongahela Valley Association of Health Centers, Inc

  dba MVA Fairmont Clinic

  • Federally Qualified Health Center (FQHC)
  • Fairmont, WV
  • NPI 1770697278
  Medicare reassignment NPD
• Monongahela Valley Association of Health Centers, Inc.

  dba MVA Fairmont Clinic Pharmacy

  • Clinic Pharmacy
  • Fairmont, WV
  • NPI 1609979673
  NPD
• Phoenix Rising Healthcare

  • Primary Care Nurse Practitioner
  • Fairmont, WV
  • NPI 1093284937
  NPD (past)

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

{
    "created_epoch": "1414022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439942400000",
    "number": "1417352287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "597 LIBERTY STREET",
            "city": "WEST MILFORD",
            "state": "WV",
            "postal_code": "26451",
            "telephone_number": "304-745-4568",
            "fax_number": "304-326-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "597 LIBERT STREET",
            "address_2": "SUITE 15",
            "city": "WEST MILFORD",
            "state": "WV",
            "postal_code": "26451",
            "telephone_number": "304-745-4568",
            "fax_number": "304-326-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOOTHMAN",
        "first_name": "CANDIS",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-23",
        "last_updated": "2015-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "73558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02045680000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CH6378",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christy L Lucas, PA-C
• Deana Mae Morrison Fernandez, D.C.
• Christina L Nolte, PAC
• Lori Romeo
• Stephanie Marie Smith, RN, MSN, NP-C

• Family Nurse Practitioner in West Milford, WV
• Providers in West Milford, WV by specialty
• Family Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.