Active NPI
Candice Catherine Caravelle, ATC
- Athletic Trainer
- Anchorage, AK
National Provider Identifier
1831880871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 103372
- Practice address
- 6050 Rockwell
Anchorage, AK 99502 - Phone
- (907) 223-4495
- NPI assigned
- May 19, 2023
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 103372 | AK | Primary |
Addresses
Primary practice location
6050 Rockwell
Anchorage, AK 99502
Mailing address
151 N. Sunrise Blvd
Ste 902
Roseville, CA 95661
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103372 | AK | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684454400000",
"number": "1831880871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 N. SUNRISE BLVD",
"address_2": "STE 902",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "95661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6050 ROCKWELL",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "99502",
"telephone_number": "907-223-4495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARAVELLE",
"first_name": "CANDICE",
"middle_name": "CATHERINE",
"name_prefix": "Ms.",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-19",
"last_updated": "2023-05-19",
"certification_date": "2023-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AK",
"license": "103372",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.