Active NPI
Deborah Candice
- Magnetic Resonance Imaging Radiologic Technologist
- Saint Louis, MO
National Provider Identifier
1598299117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Magnetic Resonance Imaging Radiologic Technologist
- License
- 154857
- Practice address
- 4532 Harvshire CT
Saint Louis, MO 63128-3625 - Phone
- (314) 807-3354
- NPI assigned
- Apr 20, 2017
- Last updated
- Apr 20, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Magnetic Resonance Imaging Radiologic Technologist | 2471M1202X | 154857 | MO | Primary |
Addresses
Primary practice location
4532 Harvshire CT
Saint Louis, MO 63128-3625
Mailing address
4532 Harvshire CT
Saint Louis, MO 63128-3625
Phone (314) 807-3354
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 |
|---|---|---|---|
| 154857 | MO | MD | Magnetic Resonance Imaging Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492646400000",
"number": "1598299117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4532 HARVSHIRE CT",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631283625",
"telephone_number": "314-807-3354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4532 HARVSHIRE CT",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631283625",
"telephone_number": "314-807-3354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANDICE",
"first_name": "DEBORAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-20",
"last_updated": "2017-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "2471M1202X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Magnetic Resonance Imaging",
"state": "MO",
"license": "154857",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.