Candice Hisel, MA-P

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

License

CM60723697 Issued in WA

Practice address

316 W Boone Ave Ste 777
Spokane, WA 99201-2323

Phone

(509) 755-5100

NPI assigned

Jul 12, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Evergreen Naturopathic

  • Naturopath
  • Spokane, WA
  • NPI 1396888541
  NPD (past)
• Evergreen Naturopathic, Inc

  • Non-Pharmacy Dispensing Site
  • Spokane, WA
  • NPI 1720336936
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562889600000",
    "number": "1598317166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 W BOONE AVE STE 777",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012323",
            "telephone_number": "509-755-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 W BOONE AVE STE 777",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012323",
            "telephone_number": "509-755-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HISEL",
        "first_name": "CANDICE",
        "credential": "MA-P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-12",
        "last_updated": "2019-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "WA",
            "license": "CM60723697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF WASHINGTON",
            "identifier": "CM60723697",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.evergreennaturopathic.com",
            "affiliation": "N",
            "address_1": "316 W Boone Ave Ste 777",
            "city": "Spokane",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992012323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sofia Hisano Hirai
• Rose Hirsch
• Jeffrey S Hirschauer
• Leila Hirtler
• Linda Hiscox
• Olivia Fortier Hiskey, PHARMD
• Hispanic Business Professional Association Foundation of the Inl
• Glen A Hiss, M.D.
• Amy Marie Hite, DPT
• Ryan P Hite, DPT

• Phlebotomy Technician in Spokane, WA
• Providers in Spokane, WA by specialty
• Phlebotomy Technician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; 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.