Candice Marie Kinney, FNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

23589 Issued in TN

Practice address

100 3Rd Ave SE
Winchester, TN 37398-1570

Phone

(931) 392-4749

NPI assigned

Nov 15, 2017

Last updated

Apr 6, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in TN

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/NIiS30uhuk8X8j0rh7g_x24gSD2gAgj9/

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.

• Fast Pace Medical Clinic PLLC

  • Family Medicine Physician
  • Spring Hill, TN
  • NPI 1134452865

  Single Specialty

  Medicare reassignment NPD
• Fast Pace Medical Clinic PLLC

  • Rural Health Clinic/Center
  • Chapel Hill, TN
  • NPI 1316602774
  NPD
• Ballard Family Medical, Inc

  dba Ballard Family Medical

  • Family Nurse Practitioner
  • Winchester, TN
  • NPI 1407121635

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1510704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522972800000",
    "number": "1750894556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 DECHERD BLVD",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373981164",
            "telephone_number": "931-313-1388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 3RD AVE SE",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373981570",
            "telephone_number": "931-392-4749"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Dover St Ste 203",
            "address_purpose": "LOCATION",
            "city": "Shelbyville",
            "state": "TN",
            "postal_code": "371602824",
            "country_code": "US",
            "telephone_number": "931-684-6772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINNEY",
        "first_name": "CANDICE",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-15",
        "last_updated": "2018-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "23589",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "23589",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Martin, DO, PC
• Leah Wilson Keith, NP
• Sara Keller, SLP-CCC
• Fancy Marie Kilgore, LADAC II
• Jennifer Brooke Kilgore, PHARMD
• Robert J Kohler, MD
• Kristin Leanne Koops, LPN
• Whitney Megan Kovach, BCBA
• Timothy C Kuo, M.D.
• Lake Med, PLLC

• Acute Care Nurse Practitioner in Winchester, TN
• Providers in Winchester, TN by specialty
• Acute Care Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.