Active NPI
Candace Connors
- Hearing Instrument Specialist
- Orange Park, FL
National Provider Identifier
1548639222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- AS5098
- Practice address
- 410 Blanding Blvd
Suite 11
Orange Park, FL 32073-5051 - Phone
- (904) 298-2855
- Fax
- (904) 298-2857
- NPI assigned
- Sep 23, 2015
- 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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | AS5098 | FL | Primary |
Addresses
Primary practice location
410 Blanding Blvd
Suite 11
Orange Park, FL 32073-5051
Mailing address
410 Blanding Blvd
Suite 11
Orange Park, FL 32073-5051
Phone (904) 298-2855
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 |
|---|---|---|---|
| AS5098 | FL | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442966400000",
"number": "1548639222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 BLANDING BLVD",
"address_2": "SUITE 11",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320735051",
"telephone_number": "904-298-2855",
"fax_number": "904-298-2857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 BLANDING BLVD",
"address_2": "SUITE 11",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320735051",
"telephone_number": "904-298-2855",
"fax_number": "904-298-2857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNORS",
"first_name": "CANDACE",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-23",
"last_updated": "2015-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "FL",
"license": "AS5098",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.