Candida Ladawn Coburn, MSN, RN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CNP-02146 Issued in NM

Practice address

1600 N Main Ave
Lovington, NM 88260-2830

Phone

(575) 396-6611

Fax

(575) 396-1454

NPI assigned

Apr 29, 2013

Last updated

Mar 14, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mrs. Candida Ladawn Smedley Former name

Medicare fee-for-service enrollment

Enrolled in NM

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

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eunice Special Hospital DistrictGroup PAC ID 4082667654, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Elite Home Health, LLC Home health agency, Hobbs, NM, CCN 327198
• Covenant Health Hobbs Hospital Hospital, Hobbs, NM, CCN 320065
• Nor-Lea Hospital District Hospital, Lovington, NM, CCN 321305

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: candida.coburn.1@28636.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/1911/brand/1/csg/1/fhir/r4

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.

• Eunice Special Hospital District

  dba Eunice Health Clinic

  • Primary Care Clinic/Center
  • Eunice, NM
  • NPI 1689724627
  Medicare reassignment Care Compare group NPD
• American Medical Group Inc.

  • General Practice Physician
  • Hobbs, NM
  • NPI 1255441051

  Family

  Medicare reassignment NPD
• Nor-Lea Hospital District

  • Critical Access Hospital
  • Lovington, NM
  • NPI 1881630036
  Medicare reassignment NPD
• Briarwood Clinic, LLC

  • Family Nurse Practitioner
  • Midland, TX
  • NPI 1881069995
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Covenant Hospital Hobbs

  dba Covenant Health Hobbs Hospital

  • General Acute Care Hospital
  • Hobbs, NM
  • NPI 1215534466
  Care Compare affiliation
• Elite Home Health, LLC

  • Home Health Agency
  • Hobbs, NM
  • NPI 1497788111
  Care Compare affiliation
• Nor-Lea Hospital District

  • Critical Access Hospital
  • Lovington, NM
  • NPI 1881630036
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489449600000",
    "number": "1891139259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 N MAIN AVE",
            "city": "LOVINGTON",
            "state": "NM",
            "postal_code": "882602830",
            "telephone_number": "575-396-6611",
            "fax_number": "575-396-1454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 N MAIN AVE",
            "city": "LOVINGTON",
            "state": "NM",
            "postal_code": "882602830",
            "telephone_number": "575-396-6611",
            "fax_number": "575-396-1454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBURN",
        "first_name": "CANDIDA",
        "middle_name": "LADAWN",
        "name_prefix": "Mrs.",
        "credential": "MSN, RN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-29",
        "last_updated": "2017-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP-02146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54876079",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CANDIDA",
            "last_name": "SMEDLEY",
            "middle_name": "LADAWN",
            "prefix": "MRS.",
            "credential": "MSN, RN, FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elise Amy Cho Rice, P.A.
• City of Lovington (Lovington Ambulance Service)
• Jayson Clark
• Magen Chanley Clayton, PA-C
• Victoria B Clements
• Maria Coleman, LMHC
• Nina Colvin
• Lucas Isaiah Contreras
• Mario R Contreras Jr., BS, LAT, ATC
• Crystal Coombs, RDN, LD

• Family Nurse Practitioner in Lovington, NM
• Providers in Lovington, NM by specialty
• Family Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.