Candace A. Elliott, C-FNP, C-ACNP, C-PMN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

248884 Issued in CA

Practice address

393 East Walnut Street
Pasadena, CA 91188

Phone

(626) 405-7197

Fax

(626) 405-7164

NPI assigned

Mar 8, 2006

Last updated

Mar 27, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332806400000",
    "number": "1700853728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1518B CREEKSIDE CT",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911071457",
            "telephone_number": "626-405-7197",
            "fax_number": "626-405-7164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 EAST WALNUT STREET",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "91188",
            "telephone_number": "626-405-7197",
            "fax_number": "626-405-7164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "CANDACE",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "C-FNP, C-ACNP, C-PMN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2012-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "248884",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "248884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ellu Partners, Inc.

• Family Nurse Practitioner in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; 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.