Candace Denise Phillips

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

23201104814 Issued in MI

Practice address

5816 N Sheldon Rd
Canton, MI 48187-3153

Phone

(734) 307-0037

NPI assigned

Jul 20, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

First Choice Urgent Care PCGroup PAC ID 9739221912, 45 clinicians

Ali Hazimeh PLLCGroup PAC ID 2062846876, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: candace.phillips.4@32709.direct.athenahealth.com

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.

• Ali Hazimeh PLLC

  dba HMC Urgent Care

  • Urgent Care Clinic/Center
  • Dearborn, MI
  • NPI 1437796216
  Medicare reassignment Care Compare group NPD
• First Choice Urgent Care PC

  • Urgent Care Clinic/Center
  • Dearborn, MI
  • NPI 1629201264
  Medicare reassignment Care Compare group
• Michigan Healthcare Professionals PC

  • Internal Medicine Physician
  • Farmington Hills, MI
  • NPI 1295023547
  Medicare reassignment NPD
• Michigan Healthcare Professionals PC

  dba Urology Specialist of Michigan

  • Durable Medical Equipment & Medical Supplies
  • Lapeer, MI
  • NPI 1992693303
  NPD
• Michigan Wellness Associates PC

  dba Medi-Weightloss

  • Obesity Medicine (Preventive Medicine) Physician
  • Canton, MI
  • NPI 1710681465
  NPD
• Hazimeh Primary Care PLLC

  • Multi-Specialty Clinic/Center
  • Dearborn, MI
  • NPI 1194364984
  NPD (past)

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

{
    "created_epoch": "1689811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1487334801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15278 BELMONT AVE",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481011710",
            "telephone_number": "313-623-4590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5816 N SHELDON RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873153",
            "telephone_number": "734-307-0037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "CANDACE",
        "middle_name": "DENISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-20",
        "last_updated": "2025-02-06",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "23201104814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latrice Peterson
• Sofia Petix
• Debra Petties
• Lemuel Pettway
• Shandra R Pettway
• Dana Phillips, LPN
• Phoenix Rising Mental Health Services, PLLC
• Physician Assistant Services (Dana Eyler)
• Physiotherapy Associates
• Physiotherapy Associates, Inc. (NovaCare Rehabilitation)

• Family Nurse Practitioner in Canton, MI
• Providers in Canton, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.

Verify at the official NPI Registry.