Kandace Burnette Page, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5006478 Issued in NC

Practice address

7004 Smith Corners Blvd Ste a
Charlotte, NC 28269-3827

Phone

(704) 688-9650

Fax

(704) 688-9651

NPI assigned

Sep 27, 2013

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

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Promed Healthcare PLLCGroup PAC ID 0749366607, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22472/brand/1/csg/1/fhir/r4
• Direct secure messaging: kandace.page.1@22472.direct.athenahealth.com

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.

• Promed Healthcare, PLLC

  • Family Medicine Physician
  • Charlotte, NC
  • NPI 1770615114
  Medicare reassignment Care Compare group NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  NC

  Medicare reassignment NPD
• Promed Healthcare, PLLC

  • Urgent Care Clinic/Center
  • Charlotte, NC
  • NPI 1750572368
  NPD
• Main Street Family Practice of China Grove PC

  • Family Medicine Physician
  • China Grove, NC
  • NPI 1619279247
  NPD (past)
• Main Street Family Practice PC

  • Family Medicine Physician
  • China Grove, NC
  • NPI 1760489629
  NPD (past)

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

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1689001307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7004 SMITH CORNERS BLVD STE A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282693827",
            "telephone_number": "704-688-9650",
            "fax_number": "704-688-9651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7004 SMITH CORNERS BLVD STE A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282693827",
            "telephone_number": "704-688-9650",
            "fax_number": "704-688-9651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Copperfield Blvd NE Ste 124",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280252454",
            "country_code": "US",
            "telephone_number": "704-688-9641",
            "fax_number": "704-960-4217",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "812 W Innes St",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "NC",
            "postal_code": "281444152",
            "country_code": "US",
            "telephone_number": "704-637-8040",
            "fax_number": "704-637-9980",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "862 Harris St NW",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280254308",
            "country_code": "US",
            "telephone_number": "980-358-6755",
            "fax_number": "410-341-5092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAGE",
        "first_name": "KANDACE",
        "middle_name": "BURNETTE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-27",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5006478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camille Page
• Emily Virginia Page, FNP-C
• Gary Ryan Page, MA
• Holly Page
• Jennifer Lynn Page, PA
• Madison Page
• Margaret Bullen Page
• Nneka Orji Page, PA
• Thomas S Page, CPO
• Frank Carl Pagel, PA-C

• Family Nurse Practitioner in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.

Verify at the official NPI Registry.