Candice Irene Sides

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

348055 Issued in NY

Practice address

117 Willis Ave
Rochester, NY 14616-4611

Phone

(585) 233-4953

NPI assigned

Aug 30, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1693353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1891570420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 WILLIS AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146164611",
            "telephone_number": "585-233-4953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 WILLIS AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146164611",
            "telephone_number": "585-233-4953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDES",
        "first_name": "CANDICE",
        "middle_name": "IRENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-30",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "348055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Sicker, MS
• Anne Marie Siconolfi, MS
• Preeti Siddam
• Wardah Siddiq, MD
• Sarmad Mohammed Siddiqui, MD
• Kamaljit K Sidhu, MD
• Ravinder Sidhu, M.D.
• Katherine Allen Sidi, M.A., CCC-SLP
• Marc L Siditsky, RPA-C
• Sidney Hillman Health Center of Rochester (Sidney Hillman Health Center Pharmacy)

• Licensed Practical Nurse in Rochester, NY
• Providers in Rochester, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.

Verify at the official NPI Registry.