Active NPI
Candice Gunn
- Prosthetic/Orthotic Supplier
- Bowmansville, NY
National Provider Identifier
1700610896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- NYZHYLB3NZ
- Practice address
- 9 Martha Dr
Bowmansville, NY 14026-1020 - Phone
- (716) 752-2177
- NPI assigned
- Aug 29, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetist | 224P00000X | NYZHYLB3NZ | NY | |
| Prosthetic/Orthotic Supplier | 335E00000X | NYZHYLB3NZ | NY | Primary |
| Orthotic Fitter | 225000000X | NYZHYLB3NZ | NY |
Addresses
Primary practice location
9 Martha Dr
Bowmansville, NY 14026-1020
Mailing address
9 Martha Dr
Bowmansville, NY 14026-1020
Phone (716) 752-2177
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NYZHYLB3NZ | NY | MD | Prosthetic/Orthotic Supplier |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757462400000",
"number": "1700610896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 MARTHA DR",
"city": "BOWMANSVILLE",
"state": "NY",
"postal_code": "140261020",
"telephone_number": "716-752-2177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 MARTHA DR",
"city": "BOWMANSVILLE",
"state": "NY",
"postal_code": "140261020",
"telephone_number": "716-752-2177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUNN",
"first_name": "CANDICE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-29",
"last_updated": "2025-09-10",
"certification_date": "2025-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "NY",
"license": "NYZHYLB3NZ",
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "NY",
"license": "NYZHYLB3NZ",
"primary": true
},
{
"code": "225000000X",
"taxonomy_group": "",
"desc": "Orthotic Fitter",
"state": "NY",
"license": "NYZHYLB3NZ",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bowmansville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.