Individual provider Active NPI

Candace Clinedinst, M.D.

  • Internal Medicine Physician
  • Woodstock, VA
National Provider Identifier
1588657472
Registry record updated Dec 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101233340 Issued in VA
Practice address
761 S Main St
Woodstock, VA 22664-1127
Phone
(540) 459-5112
Fax
(540) 459-3565
NPI assigned
Aug 25, 2005
Last updated
Dec 14, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101233340 VA Primary

Addresses

Primary practice location

761 S Main St
Woodstock, VA 22664-1127

Mailing address

761 S Main St
Woodstock, VA 22664-1127
Phone (540) 459-5112

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)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Sleep Center, LLC PastSince Jun 1, 2008 Accepting new patients
Georgia Anesthesiologists, PC Past Accepting new patients
Beauregard Medical Center, LTD Internal Medicine Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GGGGBA

Organizations & group practices 3

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": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355443200000",
    "number": "1588657472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 S MAIN ST",
            "city": "WOODSTOCK",
            "state": "VA",
            "postal_code": "226641127",
            "telephone_number": "540-459-5112",
            "fax_number": "540-459-3565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 S MAIN ST",
            "city": "WOODSTOCK",
            "state": "VA",
            "postal_code": "226641127",
            "telephone_number": "540-459-5112",
            "fax_number": "540-459-3565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINEDINST",
        "first_name": "CANDACE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-25",
        "last_updated": "2012-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101233340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2012; 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.