Individual provider Active NPI

Candace Hope Defratus

  • Nurse Practitioner
  • Corpus Christi, TX
National Provider Identifier
1780526889
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1233031 Issued in TX
Practice address
329 Atlantic St
Corpus Christi, TX 78404-1840
Phone
(361) 739-7646
NPI assigned
Apr 7, 2026
Last updated
May 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1233031 TX Primary

Addresses

Primary practice location

329 Atlantic St
Corpus Christi, TX 78404-1840

Mailing address

329 Atlantic St
Corpus Christi, TX 78404-1840
Phone (361) 739-7646

Other practice location 1

5802 Saratoga Blvd Ste 300
Corpus Christi, TX 78414-4252
Phone (361) 696-6200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20260618000727 TX Practitioner - Nurse Practitioner 5092287227

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2900 Saint Michael Dr
Suite 401
Texarkana, TX 75503-2343

5802 Saratoha BVLD
Suite 300
Corpus Christi, TX 78414

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1233031TXMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1775520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1780526889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 ATLANTIC ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784041840",
            "telephone_number": "361-739-7646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 ATLANTIC ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784041840",
            "telephone_number": "361-739-7646"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5802 Saratoga Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784144252",
            "country_code": "US",
            "telephone_number": "361-696-6200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEFRATUS",
        "first_name": "CANDACE",
        "middle_name": "HOPE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-07",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1233031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.