Individual provider Active NPI

Candice Rae Coleman-Pope

  • Family Nurse Practitioner
  • Howey in the Hills, FL
National Provider Identifier
1548640592
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9277383 Issued in FL
Practice address
138 E Central Ave
Howey in the Hills, FL 34737-3425
Phone
(407) 734-3344
NPI assigned
Jun 4, 2015
Last updated
Dec 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9277383 FL Primary

Addresses

Primary practice location

138 E Central Ave
Howey in the Hills, FL 34737-3425

Mailing address

138 E Central Ave
Howey in the Hills, FL 34737-3425
Phone (407) 734-3344

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address candice.colemanpope@centerwell.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20150805009372 FL Practitioner - Nurse Practitioner 0143534032 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9277383FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
VMD Primary Providers Central Florida PLLC CurrentSince Apr 28, 2022 Accepting new patients
Pulmonary Group of Central Florida, LLC CurrentSince Jun 1, 2015 Accepting new patients
Hilbert Zeballos PA CurrentSince Jun 1, 2015 Accepting new patients
VMD Primary Providers Central Florida PLLC CurrentSince May 8, 2022 Accepting new patients

Locations

4404 S Highway 27
Clermont, FL 34711

1038 W North Blvd
Ste 102
Leesburg, FL 34748
Phone (352) 315-1627

1060 Woodcock Rd
Ste 128
Orlando, FL 32803
Phone (346) 980-2725

Interoperability endpoints

  • Direct secure messaging: candice.colemanpope@centerwell.eclinicaldirectplus.com

Organizations & group practices 4

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": "1433376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1548640592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 E CENTRAL AVE",
            "city": "HOWEY IN THE HILLS",
            "state": "FL",
            "postal_code": "347373425",
            "telephone_number": "407-734-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 E CENTRAL AVE",
            "city": "HOWEY IN THE HILLS",
            "state": "FL",
            "postal_code": "347373425",
            "telephone_number": "407-734-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN-POPE",
        "first_name": "CANDICE",
        "middle_name": "RAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-04",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9277383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "candice.colemanpope@centerwell.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "360 Douglas Ave",
            "city": "Altamonte Springs",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327143335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Howey in the Hills, FL

Sources for this page

Verify at the official NPI Registry.