Individual provider Active NPI

Candice Roberts

  • Family Nurse Practitioner
  • Georgetown, DE
National Provider Identifier
1851700686
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG-0000773 Issued in DE
Practice address
18229 Dupont Blvd
Georgetown, DE 19947-3127
Phone
(302) 514-7246
Fax
(302) 253-8028
NPI assigned
Aug 6, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X LG-0000773 DE Primary
Pain Medicine Physician 208VP0000X LG-0000773 DE

Addresses

Primary practice location

18229 Dupont Blvd
Georgetown, DE 19947-3127

Mailing address

18229 Dupont Blvd
Georgetown, DE 19947-3127
Phone (302) 514-7246

Other names 1

  • Candice Paul Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20150528000117 DE Practitioner - Nurse Practitioner 2961722210 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LG-0000773DEMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sussex Pain Relief Center LLC Pain Medicine CurrentSince Aug 1, 2022 Accepting new patients
Choice Pain & Rehabilitation Center CurrentSince Jun 1, 2021 Accepting new patients
Choice Pain & Rehabilitation Center, LLC CurrentSince Jun 1, 2021 Accepting new patients

Locations

18229 DuPont Blvd
Georgetown, DE 19947
Phone (302) 514-7246

550 S DuPont Blvd
Ste C
Milford, DE 19963
Phone (302) 330-5051

100 Biddle Ave
Ste 101
Newark, DE 19702
Phone (302) 369-1700

8843 Greenbelt Rd
Greenbelt, MD 20770
Phone (202) 689-4398

Organizations & group practices 3

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": "1407283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1851700686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18229 DUPONT BLVD",
            "city": "GEORGETOWN",
            "state": "DE",
            "postal_code": "199473127",
            "telephone_number": "302-514-7246",
            "fax_number": "302-253-8028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18229 DUPONT BLVD",
            "city": "GEORGETOWN",
            "state": "DE",
            "postal_code": "199473127",
            "telephone_number": "302-514-7246",
            "fax_number": "302-253-8028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "CANDICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-06",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0000773",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "DE",
            "license": "LG-0000773",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CANDICE",
            "last_name": "PAUL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Georgetown, DE

Sources for this page

Verify at the official NPI Registry.