Individual provider Active NPI

Candace Fletcher Maggio, NP

  • Family Nurse Practitioner
  • Zachary, LA
National Provider Identifier
1427504893
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP08833 Issued in LA
Practice address
6550 Main St Ste 1000
Zachary, LA 70791-4092
Phone
(225) 654-1559
Fax
(225) 654-6212
NPI assigned
Aug 26, 2016
Last updated
Mar 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP08833 LA Primary

Addresses

Primary practice location

6550 Main St Ste 1000
Zachary, LA 70791-4092

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (225) 526-0011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20160926002197 LA Practitioner - Nurse Practitioner 1759678378 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiovascular Institute of the South, LLCGroup PAC ID 3779497441, 145 clinicians

Practice addresses (Care Compare)

6550 Main St
Suite 1000
Zachary, LA 70791-4092
Phone (225) 654-1559

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baton Rouge General Physicians, Inc. CurrentSince Oct 1, 2021 Accepting new patients
Baton Rouge General Physicians, Inc. CurrentSince Oct 1, 2021 Accepting new patients
Riverside Medical Center Current Accepting new patients
Cardiovascular Institute of the South, LLC Nurse Practitioner CurrentSince Mar 28, 2022 Accepting new patients

Locations

8595 Picardy Ave
Ste 202
Baton Rouge, LA 70809
Phone (225) 964-5514

8595 Picardy Ave
Ste 320
Baton Rouge, LA 70809
Phone (225) 237-1880

1901 Manhattan Blvd
Ste A200
Harvey, LA 70058
Phone (504) 354-5252

500 N Lewis St
Ste 100
New Iberia, LA 70563
Phone (337) 367-5200

1900 Main St
Sheridan, LA 70438
Phone (985) 839-4431

6550 Main St
Ste 1000
Zachary, LA 70791
Phone (225) 654-1559

Organizations & group practices 4

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1472169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1427504893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "225-526-0011",
            "fax_number": "225-765-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 MAIN ST STE 1000",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707914092",
            "telephone_number": "225-654-1559",
            "fax_number": "225-654-6212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGGIO",
        "first_name": "CANDACE",
        "middle_name": "FLETCHER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-26",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP08833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zachary, LA

Sources for this page

Verify at the official NPI Registry.