Candice Harrell

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

12687 Issued in NC

Practice address

4008 Mendenhall Oaks Pkwy Ste 101
High Point, NC 27265-8302

Phone

(336) 697-6150

NPI assigned

Dec 1, 2014

Last updated

Nov 4, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• RWW Outpatient Rehab Services, LLC

  • Clinic/Center
  • High Point, NC
  • NPI 1033729223
  Medicare reassignment NPD
• RWW Outpatient Rehab Services, LLC

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
  • NPI 1447744461
  NPD

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

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1538566922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 TIMBER VILLAGE CT APT B",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272848600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4008 MENDENHALL OAKS PKWY STE 101",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272658302",
            "telephone_number": "336-697-6150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRELL",
        "first_name": "CANDICE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-01",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "15441",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "12687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaylen Hardy, COTA
• Vallathucherry Chakalakumbil Harish, MD
• Bobbie G Harmon, RD
• Madyson F Harp
• Diane Harper, LCMHC
• Makenzie Harrington
• Martika Harrington
• Tonya Harrington
• Harris Teeter, LLC
• Harris Teeter, LLC

• Speech-Language Pathologist in High Point, NC
• Providers in High Point, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.