Active NPI
Candace Marie Moran, RN
- Student in an Organized Health Care Education/Training Program
- Payson, AZ
National Provider Identifier
1609712421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 224790
- Practice address
- 807 S Ponderosa St
Payson, AZ 85541-5542 - Phone
- (928) 471-1324
- NPI assigned
- Apr 24, 2026
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 224790 | AZ | Primary |
Addresses
Primary practice location
807 S Ponderosa St
Payson, AZ 85541-5542
Mailing address
265 W Thompson Rd
Payson, AZ 85541-2839
Phone (602) 710-4598
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 224790 | AZ | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776988800000",
"number": "1609712421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "265 W THOMPSON RD",
"city": "PAYSON",
"state": "AZ",
"postal_code": "855412839",
"telephone_number": "602-710-4598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "807 S PONDEROSA ST",
"city": "PAYSON",
"state": "AZ",
"postal_code": "855415542",
"telephone_number": "928-471-1324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORAN",
"first_name": "CANDACE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-04-24",
"last_updated": "2026-04-24",
"certification_date": "2026-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "AZ",
"license": "224790",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Payson, AZ
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- Roxanne L Millien
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- Mogollon Treatment Center (Paradise Valley Recovery)
- Mogollon Treatment Center
- Suzanne Lea Morse, APRN
- Mountain Chiropractic, LLC
- Mountain Imaging, LLC
- Mountain View Family Medicine PC
- Sherrily Brown Mulleneaux, CFNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.