Active NPI
Candace Hebert Baumgardner, OTD, OTR
- Pediatric Occupational Therapist
- Shenandoah, TX
National Provider Identifier
1497648588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 124001
- Practice address
- 17580 Interstate 45 S
Shenandoah, TX 77384-4972 - Phone
- (936) 267-7250
- NPI assigned
- May 29, 2025
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 124001 | TX | Primary |
Addresses
Primary practice location
17580 Interstate 45 S
Shenandoah, TX 77384-4972
Mailing address
6202 Wedgewood Hills Dr
Conroe, TX 77304-3198
Phone (409) 718-2310
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
| License | State | Type | Specialty |
|---|---|---|---|
| 124001 | TX | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748476800000",
"number": "1497648588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6202 WEDGEWOOD HILLS DR",
"city": "CONROE",
"state": "TX",
"postal_code": "773043198",
"telephone_number": "409-718-2310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17580 INTERSTATE 45 S",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "773844972",
"telephone_number": "936-267-7250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUMGARDNER",
"first_name": "CANDACE",
"middle_name": "HEBERT",
"credential": "OTD, OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-29",
"last_updated": "2025-05-29",
"certification_date": "2025-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "TX",
"license": "124001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shenandoah, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.