Individual provider Active NPI

Candice Charles, CNP-C

  • Family Nurse Practitioner
  • Spring, TX
National Provider Identifier
1750135224
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1100943 Issued in TX
Practice address
2255 E Mossy Oaks Rd Ste 500
Spring, TX 77389-1813
Phone
(281) 440-5300
NPI assigned
Apr 12, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.0035922 OH
Family Nurse Practitioner 363LF0000X 1100943 TX Primary

Addresses

Primary practice location

2255 E Mossy Oaks Rd Ste 500
Spring, TX 77389-1813

Mailing address

2255 E Mossy Oaks Rd Ste 500
Spring, TX 77389-1813
Phone (281) 440-5300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20240829001654 OH Practitioner - Nurse Practitioner 4082153473 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1100943TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Wound Healing LLC CurrentSince Jun 12, 2024 Accepting new patients
Vohra Wound Physicians of FL, LLC CurrentSince Nov 4, 2024 Accepting new patients
Vohra Wound Physicians of FL, LLC CurrentSince Nov 4, 2024 Accepting new patients

Locations

3601 SW 160th Ave
Ste 250
Miramar, FL 33027
Phone (305) 866-9951

6371 Riverside Dr
Ste 1100
Dublin, OH 43017
Phone (614) 516-6980

1715 Indian Wood Cir
Maumee, OH 43537
Phone (513) 272-0600

Interoperability endpoints

  • Direct secure messaging: candice.charles.1@19704.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1712880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1750135224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 E MOSSY OAKS RD STE 500",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773891813",
            "telephone_number": "281-440-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 E MOSSY OAKS RD STE 500",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773891813",
            "telephone_number": "281-440-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "CANDICE",
        "name_prefix": "Mrs.",
        "credential": "CNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-12",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0035922",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1100943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.