Active NPI
Candace Shelsey Jones
- Family Nurse Practitioner
- Paducah, KY
National Provider Identifier
1770410474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4057161
- Practice address
- 3131 Parisa Dr
Paducah, KY 42003-4584 - Phone
- (270) 444-8000
- NPI assigned
- May 6, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4057161 | KY | Primary |
Addresses
Primary practice location
3131 Parisa Dr
Paducah, KY 42003-4584
Mailing address
3131 Parisa Dr
Paducah, KY 42003-4584
Phone (270) 444-8000
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 |
|---|---|---|---|
| 1166613 | KY | MD | Registered Nurse |
| 4057161 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Four Rivers Internal Medicine, PLLC | Family | Past | Accepting new patients |
Organizations & group practices 1
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": "1778025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781049600000",
"number": "1770410474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3131 PARISA DR",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420034584",
"telephone_number": "270-444-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3131 PARISA DR",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420034584",
"telephone_number": "270-444-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "CANDACE",
"middle_name": "SHELSEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-05-06",
"last_updated": "2026-06-10",
"certification_date": "2026-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "4057161",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.