Individual provider Active NPI

Candace Richardson Chitsaz, FNP

  • Family Nurse Practitioner
  • Cary, NC
National Provider Identifier
1447270962
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201767 Issued in NC
Practice address
222 Ashville Avenue
Suite 10
Cary, NC 27518-6669
Phone
(919) 233-6000
Fax
(919) 233-6052
NPI assigned
Jul 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 201767 NC Primary

Addresses

Primary practice location

222 Ashville Avenue
Suite 10
Cary, NC 27518-6669

Mailing address

222 Ashville Avenue
Suite 10
Cary, NC 27518-6669
Phone (919) 233-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20040803000351 NC Practitioner - Nurse Practitioner 1759352909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cary Healthcare Associates, P.a.Group PAC ID 2062483225, 9 clinicians

Practice addresses (Care Compare)

301 Ashville Ave
Suite 111
Cary, NC 27518-6131
Phone (919) 233-6000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201767NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cary Healthcare Associates, P.a. CurrentSince Feb 1, 2014 Accepting new patients

Locations

222 Ashville Ave
Ste 10
Cary, NC 27518
Phone (919) 233-6000

301 Ashville Ave
Ste 111
Cary, NC 27518
Phone (919) 233-6000

Interoperability endpoints

  • Direct secure messaging: candacechitsaz@chanc.allscriptsdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447270962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 ASHVILLE AVENUE",
            "address_2": "SUITE 10",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275186669",
            "telephone_number": "919-233-6000",
            "fax_number": "919-233-6052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 ASHVILLE AVENUE",
            "address_2": "SUITE 10",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275186669",
            "telephone_number": "919-233-6000",
            "fax_number": "919-233-6052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHITSAZ",
        "first_name": "CANDACE",
        "middle_name": "RICHARDSON",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "201767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.