Active NPI
Candice Jheanell Chinn, FNP-BC
- Acute Care Nurse Practitioner
- Dallas, TX
National Provider Identifier
1629530993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- AP137930
- Practice address
- 5200 Harry Hines Blvd
Dallas, TX 75235 - Phone
- (214) 590-8000
- NPI assigned
- Apr 4, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP137930 | TX | |
| Acute Care Nurse Practitioner | 363LA2100X | AP137930 | TX | Primary |
Addresses
Primary practice location
5200 Harry Hines Blvd
Dallas, TX 75235
Mailing address
5200 Harry Hines Blvd
Dallas, TX 75235-7709
Phone (214) 590-8000
Other practice location 1
200 W John Carpenter Fwy
Irving, TX 75039-2003
Phone (281) 253-2197
Other practice location 2
5800 Campus Circle Dr E Ste 200
Irving, TX 75063-2740
Phone (281) 253-2197
Other practice location 3
5800 Campus Circle Dr E Ste 200
Irving, TX 75063-2740
Phone (281) 253-2197
Other names 1
- Candice Jheanell Clarke
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1800 N Britain Rd
Parkland Health
Irving, TX 75061-2630
Phone (214) 266-3000
5200 Harry Hines Blvd
Dallas, TX 75235-7709
Phone (214) 590-8006
Hospital & facility affiliations
- Parkland Health & Hospital System
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.1 of 100
- Quality
- 88.97
- Promoting interoperability
- 79
- Improvement activities
- 40
- Cost
- 83.75
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP137930 | TX | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dallas County Hospital District | Family | Current | Accepting new patients |
| Dallas County Hospital District | Acute Care | Current | Accepting new patients |
| Dallas County Hospital District | Family | Current | Accepting new patients |
Locations
1800 N Britain Rd
Irving, TX 75061
Phone (214) 266-3000
Interoperability endpoints
- candice.chinn.1@16194.direct.athenahealth.com
- cchinn73532@direct.phhs.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 and National Provider Directory roles.
-
- Psychiatry Physician
- Dallas, TX
- NPI 1649278995
-
- Women's Health Nurse Practitioner
- Grand Prairie, TX
- NPI 1528334216
Family
-
- Women's Health Nurse Practitioner
- Dallas, TX
- NPI 1831198506
Acute Care
Hospital & facility affiliations 45
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Ambulatory Family Planning Facility
- Dallas, TX
- NPI 1144397324
Hospital
-
- Sleep Disorder Diagnostic Clinic/Center
- Dallas, TX
- NPI 1164042784
Hospital
-
- Internal Medicine Physician
- Grand Prairie, TX
- NPI 1194090001
Hospital
-
- Ambulatory Family Planning Facility
- Dallas, TX
- NPI 1235206418
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573689600000",
"number": "1629530993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5200 HARRY HINES BLVD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752357709",
"telephone_number": "214-590-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5200 HARRY HINES BLVD",
"city": "DALLAS",
"state": "TX",
"postal_code": "75235",
"telephone_number": "214-590-8000"
}
],
"practiceLocations": [
{
"address_1": "200 W John Carpenter Fwy",
"address_purpose": "LOCATION",
"city": "Irving",
"state": "TX",
"postal_code": "750392003",
"country_code": "US",
"telephone_number": "281-253-2197",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5800 Campus Circle Dr E Ste 200",
"address_purpose": "LOCATION",
"city": "Irving",
"state": "TX",
"postal_code": "750632740",
"country_code": "US",
"telephone_number": "281-253-2197",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5800 Campus Circle Dr E Ste 200",
"address_purpose": "LOCATION",
"city": "Irving",
"state": "TX",
"postal_code": "750632740",
"country_code": "US",
"telephone_number": "281-253-2197",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHINN",
"first_name": "CANDICE",
"middle_name": "JHEANELL",
"credential": "FNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-04",
"last_updated": "2019-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP137930",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "TX",
"license": "AP137930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CANDICE",
"last_name": "CLARKE",
"middle_name": "JHEANELL",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; 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.