Individual provider Active NPI

Candice Mary Jeffers

  • Psychiatric/Mental Health Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1467276196
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95035334 Issued in CA
Practice address
1 Sansome St FL 35
San Francisco, CA 94104-4436
Phone
(512) 707-9212
NPI assigned
Nov 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1195381 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95035334 CA Primary

Addresses

Primary practice location

1 Sansome St FL 35
San Francisco, CA 94104-4436

Mailing address

PO Box 294
Jarrell, TX 76537-0294

Other practice location 1

PO Box 294
Jarrell, TX 76537-0294
Phone (737) 231-0004

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

State licenses

LicenseStateTypeSpecialty
95035334CAMDPsychiatric/Mental Health Nurse Practitioner
1195381TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Greenvine Psychiatry and Wellness, PLLC Psychiatric/Mental Health CurrentSince May 1, 2025 Accepting new patients
Smith Psychiatry LLC Psychiatric/Mental Health Past Accepting new patients
Mental Health Practitioners Psychiatric/Mental Health 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.

NPI Registry JSON

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

{
    "created_epoch": "1731283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1467276196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 294",
            "city": "JARRELL",
            "state": "TX",
            "postal_code": "765370294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SANSOME ST FL 35",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941044436",
            "telephone_number": "512-707-9212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PO Box 294",
            "address_purpose": "LOCATION",
            "city": "Jarrell",
            "state": "TX",
            "postal_code": "765370294",
            "country_code": "US",
            "telephone_number": "737-231-0004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEFFERS",
        "first_name": "CANDICE",
        "middle_name": "MARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-11",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1195381",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95035334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.

Verify at the official NPI Registry.