Active NPI
Candice Kristene Calhoun, M.H.S., P.A.
- Medical Physician Assistant
- New Haven, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 2898
- Practice address
- 20 York Street, CB-2041
New Haven, CT 06510 - Phone
- (203) 688-4748
- Fax
- (203) 688-4740
- NPI assigned
- Aug 16, 2012
- Last updated
- Oct 9, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2898 | CT | |
| Physician Assistant | 363A00000X | PA4507 | MA | |
| Medical Physician Assistant | 363AM0700X | 2898 | CT | Primary |
Addresses
Primary practice location
20 York Street, CB-2041
New Haven, CT 06510
Mailing address
20 York Street, CB-329
New Haven, CT 06510-3220
Phone (203) 688-4748
Other practice location 1
24 Hospital Ave
Danbury, CT 06810-6099
Phone (203) 739-7100
Other practice location 2
20 York Street, CB-2041
New Haven, CT 06510
Phone (203) 688-4748
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- 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
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Medical Group, Inc. | Current | Accepting new patients | |
| Afc Physicians of Connecticut, PC | Current | Accepting new patients | |
| Afc Physicians of Connecticut, PC | Current | Accepting new patients | |
| Hartford Hospital | Current | Accepting new patients | |
| Danbury Hospital | Current | Accepting new patients | |
| Connecticut Children's Specialty Group, Inc. | Physician Assistant | Current | Accepting new patients |
| Hartford Hospital | Current | Accepting new patients |
Locations
2 Main St
Danbury, CT 06810
Phone (203) 826-2140
20 Germantown Rd
Danbury, CT 06810
Phone (203) 739-4820
24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118
10 Columbus Blvd
Hartford, CT 06106
Phone (860) 837-5619
10 Columbus Blvd
Fl 4
Hartford, CT 06106
Phone (860) 837-5560
114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001
282 Washington St
Hartford, CT 06106
Phone (860) 545-8950
20 York St
#2041
North Haven, CT 06510
Phone (203) 688-1734
95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Surgery Physician
- Hartford, CT
- NPI 1407806391
-
- Internal Medicine Physician
- Bridgeport, CT
- NPI 1043278351
-
- Urgent Care Clinic/Center
- Danbury, CT
- NPI 1003152984
-
- General Acute Care Hospital
- Danbury, CT
- NPI 1548293343
-
- Urgent Care Clinic/Center
- West Hartford, CT
- NPI 1255752945
-
dba AFC Urgent Care
- Urgent Care Clinic/Center
- Rocky Hill, CT
- NPI 1285387530
-
- Pediatrics Physician
- Hartford, CT
- NPI 1669448882
Physician Assistant
-
dba Danbury Hospital DBA New Milford Hospital
- General Acute Care Hospital
- New Milford, CT
- NPI 1619938016
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1770696643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570579200000",
"number": "1881942142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 YORK STREET, CB-329",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065103220",
"telephone_number": "203-688-4748",
"fax_number": "203-688-4740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 YORK STREET, CB-2041",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "06510",
"telephone_number": "203-688-4748",
"fax_number": "203-688-4740"
}
],
"practiceLocations": [
{
"address_1": "24 Hospital Ave",
"address_purpose": "LOCATION",
"city": "Danbury",
"state": "CT",
"postal_code": "068106099",
"country_code": "US",
"telephone_number": "203-739-7100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "20 York Street, CB-2041",
"address_purpose": "LOCATION",
"city": "New Haven",
"state": "CT",
"postal_code": "06510",
"country_code": "US",
"telephone_number": "203-688-4748",
"fax_number": "203-688-4740",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CALHOUN",
"first_name": "CANDICE",
"middle_name": "KRISTENE",
"credential": "M.H.S., P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-16",
"last_updated": "2019-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CT",
"license": "2898",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "PA4507",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CT",
"license": "2898",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.