Individual provider Active NPI

Candice Starr Ryan, NP-C

  • Nurse Practitioner
  • Creedmoor, NC
National Provider Identifier
1528628542
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5011915 Issued in NC
Practice address
1614 NC Highway 56
Creedmoor, NC 27522-8297
Phone
(919) 575-6103
Fax
(919) 575-6817
NPI assigned
Jun 20, 2019
Last updated
Aug 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5011915 NC Primary

Addresses

Primary practice location

1614 NC Highway 56
Creedmoor, NC 27522-8297

Mailing address

PO Box 986
Oxford, NC 27565-0986
Phone (919) 575-6103

Other practice location 1

1010 College St
Oxford, NC 27565-2507
Phone (919) 690-3416

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20190820001510 NC Practitioner - Nurse Practitioner 9537497276 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

101 Manning Dr
Chapel Hill, NC 27514-4220
Phone (984) 974-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Coverage Services, PC Nurse Practitioner CurrentSince Jun 29, 2023 Accepting new patients
Granville Health System CurrentSince Aug 1, 2019 Accepting new patients
Granville Health System CurrentSince Aug 1, 2019 Accepting new patients
DLP Person Urgent Care LLC CurrentSince Aug 1, 2023 Accepting new patients
Granville Health System Current Accepting new patients
DLP Person Urgent Care LLC CurrentSince Aug 1, 2023 Accepting new patients
Emergency Coverage, LLC Nurse Practitioner CurrentSince May 1, 2024 Accepting new patients
University of North Carolina at Chapel Hill CurrentSince Dec 9, 2024 Accepting new patients
Granville Health System Current Accepting new patients

Locations

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

1614 NC Highway 56
Creedmoor, NC 27522
Phone (919) 528-7171

5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533

1010 College St
Oxford, NC 27565
Phone (919) 623-5115

110 Professional Park
Oxford, NC 27565
Phone (919) 693-6541

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

3762 Durham Rd
Roxboro, NC 27573
Phone (336) 330-0400

3762 Durham Rd
Ste A
Roxboro, NC 27573
Phone (336) 330-0400

615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699

700 US 1 Hwy
Ste 100
Youngsville, NC 27596
Phone (919) 562-2340

Interoperability endpoints

  • Direct secure messaging: candice.ryan.2@20247.direct.athenahealth.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1528628542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 986",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275650986",
            "telephone_number": "919-575-6103",
            "fax_number": "919-575-6817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1614 NC HIGHWAY 56",
            "city": "CREEDMOOR",
            "state": "NC",
            "postal_code": "275228297",
            "telephone_number": "919-575-6103",
            "fax_number": "919-575-6817"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 College St",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "NC",
            "postal_code": "275652507",
            "country_code": "US",
            "telephone_number": "919-690-3416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYAN",
        "first_name": "CANDICE",
        "middle_name": "STARR",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-20",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5011915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Creedmoor, NC

Sources for this page

Verify at the official NPI Registry.