Individual provider Active NPI

Candace Byers, PA-C, FNP-C

  • Family Nurse Practitioner
  • Quilcene, WA
National Provider Identifier
1487611448
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61157568 Issued in WA
Practice address
294843 US Highway 101
Quilcene, WA 98376-9800
Phone
(360) 385-3991
Fax
(360) 765-3811
NPI assigned
Apr 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA 60082362 WA
Family Nurse Practitioner 363LF0000X 202100055NP-PP OR
Family Nurse Practitioner 363LF0000X AP61157568 WA Primary

Addresses

Primary practice location

294843 US Highway 101
Quilcene, WA 98376-9800

Mailing address

834 Sheridan St
Port Townsend, WA 98368-2443
Phone (360) 437-5067

Other practice location 1

89 Breaker Ln
Port Ludlow, WA 98365-9766
Phone (360) 437-5067

Other identifiers 3

IdentifierTypeStateIssuer
202100055NP-PPOtherORLICENSE TO PRACTICE
PA 12097OtherCALICENSE TO PRACTICE
PA 60082362OtherWAWASHINGTON STATE DEPT OF HEALTH

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)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA 60082362WAMDMedical Physician Assistant
202100055NP-PPORMDFamily Nurse Practitioner
AP61157568WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson County Public Hospital District No 2 CurrentSince Sep 21, 2011 Accepting new patients
Jamestown S'Klallam Tribe CurrentSince Oct 19, 2016 Accepting new patients
Jamestown S'Klallam Tribe CurrentSince Oct 19, 2016 Accepting new patients
Northwest Walk-in Health Center PastSince Apr 1, 2006 Accepting new patients

Locations

834 Sheridan St
Port Townsend, WA 98368
Phone (360) 344-0400

1010 Sheridan St
Ste 101
Port Townsend, WA 98368
Phone (360) 379-8031

808 N 5th Ave
Sequim, WA 98382
Phone (360) 582-4840

526 S 9th Ave
Sequim, WA 98382
Phone (360) 681-7755

Organizations & group practices 4

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1487611448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 SHERIDAN ST",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983682443",
            "telephone_number": "360-437-5067",
            "fax_number": "360-437-4158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "294843 US HIGHWAY 101",
            "city": "QUILCENE",
            "state": "WA",
            "postal_code": "983769800",
            "telephone_number": "360-385-3991",
            "fax_number": "360-765-3811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "89 Breaker Ln",
            "address_purpose": "LOCATION",
            "city": "Port Ludlow",
            "state": "WA",
            "postal_code": "983659766",
            "country_code": "US",
            "telephone_number": "360-437-5067",
            "fax_number": "360-437-4158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BYERS",
        "first_name": "CANDACE",
        "name_prefix": "Ms.",
        "credential": "PA-C, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2023-03-07",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA 60082362",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "202100055NP-PP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61157568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE TO PRACTICE",
            "identifier": "202100055NP-PP",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE TO PRACTICE",
            "identifier": "PA 12097",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE DEPT OF HEALTH",
            "identifier": "PA 60082362",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Quilcene, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.