Active NPI
Kandace McCarthy, RN
- Flight Registered Nurse
- PT St Lucie, FL
National Provider Identifier
1477678415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Flight Registered Nurse
- License
- RN9173565
- Practice address
- 230 Banyan Dr
PT St Lucie, FL 34952 - Phone
- (772) 708-3107
- NPI assigned
- Mar 20, 2007
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Flight Registered Nurse | 163WF0300X | RN9173565 | FL | Primary |
Addresses
Primary practice location
230 Banyan Dr
PT St Lucie, FL 34952
Mailing address
230 Banyan Dr
PT St Lucie, FL 34952
Phone (772) 708-3107
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9173565 | FL | MD | Flight Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477678415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 BANYAN DR",
"city": "PT ST LUCIE",
"state": "FL",
"postal_code": "34952",
"telephone_number": "772-708-3107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 BANYAN DR",
"city": "PT ST LUCIE",
"state": "FL",
"postal_code": "34952",
"telephone_number": "772-708-3107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCARTHY",
"first_name": "KANDACE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WF0300X",
"taxonomy_group": "",
"desc": "Registered Nurse, Flight",
"state": "FL",
"license": "RN9173565",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in PT St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.