Active NPI
Candice Latrice Reynolds, PMHNP-BC, FNP-C
- Family Nurse Practitioner
- Dover, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- LG-0000531
- Practice address
- 1418 S State St
Dover, DE 19901-4948 - Phone
- (302) 257-3135
- Fax
- (302) 526-2410
- NPI assigned
- Jul 23, 2010
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AC005517 | MD | |
| Family Nurse Practitioner | 363LF0000X | APRN9486111 | FL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN9486111 | FL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AC005680 | MD | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | L8-0010481 | DE | |
| Family Nurse Practitioner | 363LF0000X | LG-0000531 | DE | Primary |
Addresses
Primary practice location
1418 S State St
Dover, DE 19901-4948
Mailing address
2139 N University Dr
PMB 3000
Coral Springs, FL 33071-6134
Phone (302) 399-3019
Other practice location 1
7901 4th St N Ste 300
St Petersburg, FL 33702-4399
Phone (302) 648-2776
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE, FL, TX, MA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1418 S State St
Dover, DE 19901-4948
Phone (302) 257-3135
66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LG-0000531 | DE | MD | Family Nurse Practitioner |
| AC005517 | MD | MD | Family Nurse Practitioner |
| L8-0010481 | DE | MD | Psychiatric/Mental Health Nurse Practitioner |
| AC005680 | MD | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Psychiatric/Mental Health | Current | Accepting new patients |
| Northnode Group Counseling | Current | Accepting new patients | |
| Carbon Health Medical Group of Florida PA | Current | Accepting new patients | |
| Carbon Health Medical Group of Florida PA | Current | Accepting new patients | |
| Westside Family Healthcare, Inc | Current | Accepting new patients | |
| Westside Family Healthcare, Inc. | Current | Accepting new patients |
Locations
2920 Telegraph Ave
Ste 100
Berkeley, CA 94705
Phone (415) 549-0212
1609 S State St
Dover, DE 19901
Phone (302) 257-3135
1418 S State St
Dover, DE 19901
Phone (302) 257-3135
200 Continental Dr
Ste 401
Newark, DE 19713
Phone (302) 238-6200
1802 W 4th St
Wilmington, DE 19805
Phone (302) 655-5576
4825 SW 148th Ave
Davie, FL 33330
Phone (954) 526-7291
915 W 49th St
Hialeah, FL 33012
Phone (305) 200-1225
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
100 Cambridge St
Fl 14
Boston, MA 02114
Phone (617) 917-2389
17903 W Lake Houston Pkwy
Ste 101
Humble, TX 77346
Phone (215) 570-6856
8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598
Organizations & group practices 6
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.
-
- Clinical Social Worker
- Dover, DE
- NPI 1003273954
-
- Mental Health Counselor
- Miami, FL
- NPI 1245845932
DC, DE, MA, Psychiatric/Mental Health
-
- Federally Qualified Health Center (FQHC)
- Wilmington, DE
- NPI 1952303695
-
- Urgent Care Clinic/Center
- Austin, TX
- NPI 1477155331
-
- Urgent Care Clinic/Center
- Davie, FL
- NPI 1942812763
-
- Federally Qualified Health Center (FQHC)
- Newark, DE
- NPI 1801898556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744588800000",
"number": "1457664104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2139 N UNIVERSITY DR",
"address_2": "PMB 3000",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330716134",
"telephone_number": "302-399-3019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1418 S STATE ST",
"city": "DOVER",
"state": "DE",
"postal_code": "199014948",
"telephone_number": "302-257-3135",
"fax_number": "302-526-2410"
}
],
"practiceLocations": [
{
"address_1": "7901 4th St N Ste 300",
"address_purpose": "LOCATION",
"city": "St Petersburg",
"state": "FL",
"postal_code": "337024399",
"country_code": "US",
"telephone_number": "302-648-2776",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REYNOLDS",
"first_name": "CANDICE",
"middle_name": "LATRICE",
"credential": "PMHNP-BC, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-23",
"last_updated": "2025-04-14",
"certification_date": "2025-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "AC005517",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN9486111",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "APRN9486111",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "AC005680",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "DE",
"license": "L8-0010481",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "DE",
"license": "LG-0000531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dover, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.