Individual provider Active NPI

Candice Di Iorio, APRN, WHNP-BC

  • Women's Health Nurse Practitioner
  • Austin, TX
National Provider Identifier
1811550726
Registry record updated Apr 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
AP141238 Issued in TX
Practice address
5301A Davis LN Ste 210
Austin, TX 78749-3961
Phone
(512) 614-1025
NPI assigned
Apr 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X AP141238 TX Primary

Addresses

Primary practice location

5301A Davis LN Ste 210
Austin, TX 78749-3961

Mailing address

188 Gallatin CT
Austin, TX 78737-4771
Phone (619) 300-6764

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
I20210112003197 TX Practitioner - Nurse Practitioner 7911310917 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michael M Di Iorio, MD PLLC CurrentSince Jan 1, 2021 Accepting new patients
Lisa M. Jukes, MD, PA Past Accepting new patients

Locations

5301 Davis Ln
#210
Austin, TX 78749
Phone (512) 693-8344

5301 Davis Ln
Ste 210
Austin, TX 78749
Phone (512) 212-9248

5301 Davis Ln
Bldg A210
Austin, TX 78749

Organizations & group practices 2

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": "1555372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555372800000",
    "number": "1811550726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 GALLATIN CT",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787374771",
            "telephone_number": "619-300-6764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301A DAVIS LN STE 210",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787493961",
            "telephone_number": "512-614-1025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DI IORIO",
        "first_name": "CANDICE",
        "credential": "APRN, WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-16",
        "last_updated": "2019-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "AP141238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.