Active NPI
Candace Brooke Dulabh, PA-C
- Physician Assistant
- Owensboro, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- TC356
- Practice address
- 1000 Breckenridge St
Suite 401
Owensboro, KY 42303-0839 - Phone
- (270) 688-4401
- Fax
- (270) 688-4409
- NPI assigned
- Jan 27, 2011
- Last updated
- Nov 27, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | TC356 | KY | Primary |
| Medical Physician Assistant | 363AM0700X | NU |
Addresses
Primary practice location
1000 Breckenridge St
Suite 401
Owensboro, KY 42303-0839
Mailing address
PO Box 23229
Owensboro, KY 42304-3229
Phone (270) 688-4401
Other names 1
- Candace Brooke Brown
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cdulabh50588@direct.owensborohealth.org | Owensboro Health Medical Group, Inc |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Kentucky College of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Owensboro Health, Inc
Practice addresses (Care Compare)
1000 Breckenridge St
Suite 401
Owensboro, KY 42303-0878
Phone (270) 688-4401
1006 Ford Ave
Owensboro, KY 42301-4677
Phone (270) 688-4845
2211 Mayfair Dr
Owensboro, KY 42301-4569
PO Box
Suite 23229
Owensboro, KY 42304-3229
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TC356 | KY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Owensboro Health Medical Group Inc | Current | Accepting new patients | |
| Owensboro Health Medical Group, Inc. | Current | Accepting new patients | |
| Owensboro Health Medical Group, Inc | Physician Assistant | Past | Accepting new patients |
Locations
1000 Breckenridge St
Ste 401
Owensboro, KY 42303
Phone (270) 685-1066
2211 Mayfair Dr
Ste 101
Owensboro, KY 42301
Phone (270) 688-1352
2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351
Interoperability endpoints
- cdulabh50588@direct.owensborohealth.org
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.
-
dba Owensboro Health Muhlenberg Community Hospital Wound Center
- Surgery Physician
- Greenville, KY
- NPI 1235518242
-
dba Owensboro Health Medical Group Premier Primary Care
- Internal Medicine Physician
- Owensboro, KY
- NPI 1306700711
-
dba Owensboro Health Medical Group - Physical Medicine and Rehabilitation
- Physical Medicine & Rehabilitation Physician
- Owensboro, KY
- NPI 1518308667
-
dba Owensboro Health Medical Group - EKG Professional Services
- Family Medicine Physician
- Owensboro, KY
- NPI 1376594242
Physician Assistant
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Owensboro Health Regional Hospital
- General Acute Care Hospital
- Owensboro, KY
- NPI 1285613612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1588960397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23229",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423043229",
"telephone_number": "270-688-4401",
"fax_number": "270-688-4409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 BRECKENRIDGE ST",
"address_2": "SUITE 401",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423030839",
"telephone_number": "270-688-4401",
"fax_number": "270-688-4409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DULABH",
"first_name": "CANDACE",
"middle_name": "BROOKE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-27",
"last_updated": "2023-11-27",
"certification_date": "2020-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KY",
"license": "TC356",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cdulabh50588@direct.owensborohealth.org",
"affiliation": "Y",
"affiliationName": "Owensboro Health Medical Group, Inc",
"address_1": "1000 Breckenridge St",
"address_2": "Suite 401",
"city": "Owensboro",
"state": "KY",
"country_code": "US",
"postal_code": "423030839",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "CANDACE",
"last_name": "BROWN",
"middle_name": "BROOKE",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Owensboro, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.