Candice Ashley Wagner, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

717701 Issued in NY

Practice address

80 Willowbrook CT
Staten Island, NY 10302-2402

Phone

(718) 981-0502

NPI assigned

Jun 2, 2025

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

Other names 1

• Mrs. Candice Ashley Woods Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1748822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1538052113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 TIMOTHY LN",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077243133",
            "telephone_number": "347-703-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 WILLOWBROOK CT",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103022402",
            "telephone_number": "718-981-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "CANDICE",
        "middle_name": "ASHLEY",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-02",
        "last_updated": "2025-06-02",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "717701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CANDICE",
            "last_name": "WOODS",
            "middle_name": "ASHLEY",
            "prefix": "MRS.",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nelisha Waas, OTR/L
• Shayna E Wacholder
• Brittany N Waddy
• Amanda Wagerik-Fasano, LMSW, CASAC-T
• Nancy Wagner-Wetzel, PSY.D.
• Debra Wagner
• Maung Tint Wai, MD
• George Wakeham
• Veronica Wakeman, LPN
• Andrew Kenneth Wakschal, LMHC

• Registered Nurse in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.

Verify at the official NPI Registry.