Individual provider Active NPI

Candice Case, FNP

  • Family Nurse Practitioner
  • Owings Mills, MD
National Provider Identifier
1649042987
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R197489 Issued in MD
Practice address
23 Crossroads Dr Ste 325
Owings Mills, MD 21117-5478
Phone
(140) 484-5686
NPI assigned
Oct 30, 2023
Last updated
Nov 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R197489 MD Primary

Addresses

Primary practice location

23 Crossroads Dr Ste 325
Owings Mills, MD 21117-5478

Mailing address

1153 Caton Rd
Hampstead, MD 21074-1670

Other practice location 1

1838 Greene Tree Rd
Pikesville, MD 21208-6391
Phone (410) 484-5686

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240102003375 MD Practitioner - Nurse Practitioner 5991155087 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifebridge Community Pulmonology LLCGroup PAC ID 8426274598, 5 clinicians

Practice addresses (Care Compare)

23 Crossroads Dr
Owings Mills, MD 21117-5420
Phone (410) 484-5686

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R197489MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifebridge Community Pulmonology, LLC CurrentSince Dec 18, 2023 Accepting new patients

Locations

23 Crossroads Dr
Ste 325
Owings Mills, MD 21117
Phone (410) 363-8777

1838 Greene Tree Rd
Ste 350
Pikesville, MD 21208
Phone (410) 484-5686

Interoperability endpoints

  • Direct secure messaging: candicecase@lscm.allscriptsdirect.net

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1649042987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1153 CATON RD",
            "city": "HAMPSTEAD",
            "state": "MD",
            "postal_code": "210741670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 CROSSROADS DR STE 325",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175478",
            "telephone_number": "140-484-5686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1838 Greene Tree Rd",
            "address_purpose": "LOCATION",
            "city": "Pikesville",
            "state": "MD",
            "postal_code": "212086391",
            "country_code": "US",
            "telephone_number": "410-484-5686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASE",
        "first_name": "CANDICE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-30",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R197489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

Verify at the official NPI Registry.