Active NPI
Kandy Fink Levasseur, C.R.N.P.
- Pediatric Nurse Practitioner
- Cumberland, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- R122010
- Practice address
- 500 Greene St
Cumberland, MD 21502-2755 - Phone
- (301) 724-7616
- Fax
- (301) 724-4811
- NPI assigned
- Aug 17, 2005
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | R122010 | MD | Primary |
Addresses
Primary practice location
500 Greene St
Cumberland, MD 21502-2755
Mailing address
500 Greene St
Cumberland, MD 21502-2755
Phone (301) 724-7616
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9610029000 | Medicaid | WV | |
| 107502100 | Medicaid | MD |
Other names 1
- Kandy Michelle Fink
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Healthcare Physicians Inc | Current | Accepting new patients | |
| University Healthcare Physicians, Inc. | Current | Accepting new patients | |
| West Virginia University Medical Corporation | Current | Accepting new patients | |
| West Virginia University Medical Corporation | Current | Accepting new patients | |
| Children's Medical Group, P.a. | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
500 Greene St
Cumberland, MD 21502
Phone (301) 724-7616
2010 Doctor Oates Dr
Ste 102
Martinsburg, WV 25401
Phone (304) 264-6343
61 Campus Dr
Ste 200
Martinsburg, WV 25404
Phone (304) 274-6343
2000 Foundation Way
Ste 3100
Martinsburg, WV 25401
Phone (304) 260-1436
61 Campus Dr
Martinsburg, WV 25404
Phone (304) 274-6343
2500 Hospital Dr
Martinsburg, WV 25401
Phone (304) 233-4134
2000 Professional Ct
Ste C
Martinsburg, WV 25401
Phone (304) 263-8853
1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500
201 E 5th Ave
Ste 1
Ranson, WV 25438
Phone (304) 728-1812
Interoperability endpoints
- kandylevasseurcrnp@childrensm.allscriptsdirect.net
Organizations & group practices 6
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.
-
- Specialist
- Cumberland, MD
- NPI 1528165750
-
- Family Medicine Physician
- Martinsburg, WV
- NPI 1659625739
-
dba University Health Associates
- Family Medicine Physician
- Morgantown, WV
- NPI 1275504508
-
dba UHP Anesthesia
- Anesthesiology Physician
- Martinsburg, WV
- NPI 1417371329
-
dba Crisis Support and Recovery Center
- Community/Behavioral Health Agency
- Martinsburg, WV
- NPI 1174233530
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366243200000",
"number": "1851383749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 GREENE ST",
"city": "CUMBERLAND",
"state": "MD",
"postal_code": "215022755",
"telephone_number": "301-724-7616",
"fax_number": "301-724-4811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 GREENE ST",
"city": "CUMBERLAND",
"state": "MD",
"postal_code": "215022755",
"telephone_number": "301-724-7616",
"fax_number": "301-724-4811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVASSEUR",
"first_name": "KANDY",
"middle_name": "FINK",
"credential": "C.R.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-17",
"last_updated": "2013-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MD",
"license": "R122010",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9610029000",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "107502100",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KANDY",
"last_name": "FINK",
"middle_name": "MICHELLE",
"credential": "C.R.N.P.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cumberland, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; 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.