Active NPI
Candice Di Iorio, APRN, WHNP-BC
- Women's Health Nurse Practitioner
- Austin, TX
National Provider Identifier
1811550726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- AP141238
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael M Di Iorio, MD PLLC | Current | 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.
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.