Candlelight Care Pediatrics, PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

CANDLELIGHT CARE PEDIATRICS, PLLC

Practice address

190 S Collins Rd Ste 100
Sunnyvale, TX 75182-4623

Phone

(214) 542-1907

Fax

(661) 221-7156

NPI assigned

Nov 18, 2019

Last updated

Dec 5, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Monde M Ferguson, FNPNPI 1295232924

Title

Owner of Entity

Phone

(214) 542-1907

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Monde Mwiya Ferguson, FNP

  • Family Nurse Practitioner
  • Rockwall, TX
  • NPI 1295232924
  Authorized official Same address or phone

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

{
    "created_epoch": "1574035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575504000000",
    "number": "1649816307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3919 POPLAR POINT DR",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750329276",
            "telephone_number": "214-542-1907",
            "fax_number": "661-221-7158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 S COLLINS RD STE 100",
            "city": "SUNNYVALE",
            "state": "TX",
            "postal_code": "751824623",
            "telephone_number": "214-542-1907",
            "fax_number": "661-221-7156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANDLELIGHT CARE PEDIATRICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-18",
        "last_updated": "2019-12-05",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "MONDE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER OF ENTITY",
        "authorized_official_telephone_number": "214-542-1907",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Radcliffe Boone, DO
• Robert Edwin Brockie, MD
• Craig Reece Brockman II, MD
• Laura Burgos, M.D.
• Bailey May Burkhalter
• Carestar Home Health Service, LLC (CareStar Home Health Service)
• Caring Home Health Inc
• Alexandre Carvalho, MD
• David Chang, DO
• Hailey Chapple

• Family Nurse Practitioner in Sunnyvale, TX
• Providers in Sunnyvale, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.