Active NPI
Candece Danyl Hansen, MS, RD, LMNT
- Registered Dietitian
- Norfolk, NE
National Provider Identifier
1821253790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 829
- Practice address
- 710 S 13TH St Ste 1200
Norfolk, NE 68701-5606 - Phone
- (402) 370-4570
- NPI assigned
- Jul 21, 2008
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 829 | NE | Primary |
Addresses
Primary practice location
710 S 13TH St Ste 1200
Norfolk, NE 68701-5606
Mailing address
82863 Highway 57
Stanton, NE 68779-7837
Phone (402) 439-2658
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 951529 | Other | NE | CDR |
Other names 1
- Candece Danyl Goshorn
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roger W. Nutt, M.D.,P.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Medical Specialty Clinic/Center
- Norfolk, NE
- NPI 1891914602
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266883200000",
"number": "1821253790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "82863 HIGHWAY 57",
"city": "STANTON",
"state": "NE",
"postal_code": "687797837",
"telephone_number": "402-439-2658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 S 13TH ST STE 1200",
"city": "NORFOLK",
"state": "NE",
"postal_code": "687015606",
"telephone_number": "402-370-4570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN",
"first_name": "CANDECE",
"middle_name": "DANYL",
"credential": "MS, RD, LMNT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-21",
"last_updated": "2010-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NE",
"license": "829",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDR",
"identifier": "951529",
"state": "NE"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CANDECE",
"last_name": "GOSHORN",
"middle_name": "DANYL",
"credential": "MS, RD, LMNT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Norfolk, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.