Myia Canidate, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

098133 Issued in GA

Practice address

1001 Vinings TRL SE # 1001
Smyrna, GA 30080-8638

Phone

(678) 933-9367

NPI assigned

Feb 16, 2023

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• MDC Med Lab LLC

  • Clinical Medical Laboratory
  • Smyrna, GA
  • NPI 1245930239
  NPD Authorized official

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

{
    "created_epoch": "1676505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1780382010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 PONCE DE LEON AVE NE STE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303081864",
            "telephone_number": "678-933-9367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 VININGS TRL SE # 1001",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300808638",
            "telephone_number": "678-933-9367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANIDATE",
        "first_name": "MYIA",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-16",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "098133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "098133",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Candice Leah Campbell, M.S. CCC-SLP
• Jakayla Campbell, ATC
• Mary Campbell, LPC
• Candler Road Dental, PC
• Candy Bear Pediatrics Telemedicine LLC
• Chadwick Cantrell
• Tania Maria Capparelli, LMFT
• Kristin Cardell, ATC
• Phyllis Carden, OTR/L
• Francisco J Cardenas, MD

• Licensed Practical Nurse in Smyrna, GA
• Providers in Smyrna, GA by specialty
• Licensed Practical Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; 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.