Candace Delisio, CNM

Primary specialty

MidwifeTaxonomy code 176B00000X

License

0218662301 Issued in NH

Practice address

44 Birch St
Suite 103B
Derry, NH 03038-2752

Phone

(603) 421-2460

Fax

(603) 421-2479

NPI assigned

Jul 2, 2006

Last updated

May 28, 2009By 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 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

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.

• Parkland Physician Services Inc

  dba Womens Health Associates of Derry

  • Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician
  • Derry, NH
  • NPI 1740409556
  NPD (past)
• Parkland Physician Services Inc

  dba Womens Progressive Healthcare

  • Obstetrics & Gynecology Physician
  • Derry, NH
  • NPI 1902027774
  NPD (past)
• Parkland Physician Services, Inc.

  • Endocrinology, Diabetes & Metabolism Physician
  • Derry, NH
  • NPI 1144388737
  NPD (past)

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243468800000",
    "number": "1720017619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 CENTRAL AVE",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038203437",
            "telephone_number": "603-742-0101",
            "fax_number": "603-743-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 BIRCH ST",
            "address_2": "SUITE 103B",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030382752",
            "telephone_number": "603-421-2460",
            "fax_number": "603-421-2479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELISIO",
        "first_name": "CANDACE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-02",
        "last_updated": "2009-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NH",
            "license": "0218662301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "4008816Y0NH01",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30341237",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chali Christina Davis, ED.S., MA, DC
• James D Dawson Jr.
• Theunis Otte De Boer
• Michelle Decosmo
• Angela Degenova, LCMHC
• Gary T Della Grotta, MD
• Dawn Lee Demark-Buik, DC
• Department of Veterans Affairs
• Joanna Iris Avena Depasupil, MD
• Derry Braces PC

• Midwife in Derry, NH
• Providers in Derry, NH by specialty
• Midwife in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2009; 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.