Individual provider Active NPI

Candace Hiland, CRNP

  • Acute Care Nurse Practitioner
  • Gadsden, AL
National Provider Identifier
1780342774
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1-127997 Issued in AL
Practice address
525 S 3Rd St
Gadsden, AL 35901-5306
Phone
(256) 438-5107
NPI assigned
Dec 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1-127997 AL Primary

Addresses

Primary practice location

525 S 3Rd St
Gadsden, AL 35901-5306

Mailing address

4546 Al Highway 40
Henagar, AL 35978-4635

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20231025001125 AL Practitioner - Nurse Practitioner 8820468358 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Relief Spine and Pain Center LLC CurrentSince May 20, 2024 Accepting new patients
First Care Medical Clinic CurrentSince Dec 4, 2016 Accepting new patients
Hospitalist Medicine Physicians of Alabama-TCG, Inc. CurrentSince Sep 18, 2023 Accepting new patients

Locations

1403 Old Water Works Rd SW
Fort Payne, AL 35968
Phone (256) 646-7246

1825 Glenn Blvd SW
Fort Payne, AL 35968
Phone (256) 845-5999

200 Medical Center Dr SW
Fort Payne, AL 35968
Phone (256) 845-3150

309 S 4th St
Gadsden, AL 35901
Phone (256) 543-9955

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BCGEDD

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": "1638835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1780342774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4546 AL HIGHWAY 40",
            "city": "HENAGAR",
            "state": "AL",
            "postal_code": "359784635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 S 3RD ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015306",
            "telephone_number": "256-438-5107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILAND",
        "first_name": "CANDACE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-07",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-127997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

Verify at the official NPI Registry.