Individual provider Active NPI

Candance Walencia Brown, RN

  • Wound Care Registered Nurse
  • Fort Pierce, FL
National Provider Identifier
1912638586
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Wound Care Registered NurseTaxonomy code 163WW0000X
License
9360064 Issued in FL
Practice address
2223 S 25TH St
Fort Pierce, FL 34947-4796
Phone
(772) 667-0107
Fax
(772) 448-8825
NPI assigned
Jun 23, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 9360064 FL
Wound Care Registered Nurse 163WW0000X 9360064 FL Primary
Continence Care Registered Nurse 163WC2100X 9360064 FL
Diabetes Educator Registered Nurse 163WD0400X 9360064 FL
Infusion Therapy Registered Nurse 163WI0500X 9360064 FL
Ostomy Care Registered Nurse 163WX1500X 9360064 FL

Addresses

Primary practice location

2223 S 25TH St
Fort Pierce, FL 34947-4796

Mailing address

2223 S 25TH St
Fort Pierce, FL 34947-4796
Phone (772) 667-0107

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Caring Companions 2000, Inc CurrentSince Jun 26, 2022 Accepting new patients

Locations

2223 S 25th St
Fort Pierce, FL 34947
Phone (772) 667-0107

Organizations & group practices 1

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": "1655942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1912638586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2223 S 25TH ST",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349474796",
            "telephone_number": "772-667-0107",
            "fax_number": "772-448-8825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2223 S 25TH ST",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349474796",
            "telephone_number": "772-667-0107",
            "fax_number": "772-448-8825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CANDANCE",
        "middle_name": "WALENCIA",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "FL",
            "license": "9360064",
            "primary": false
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "FL",
            "license": "9360064",
            "primary": true
        },
        {
            "code": "163WC2100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continence Care",
            "state": "FL",
            "license": "9360064",
            "primary": false
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "FL",
            "license": "9360064",
            "primary": false
        },
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "FL",
            "license": "9360064",
            "primary": false
        },
        {
            "code": "163WX1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ostomy Care",
            "state": "FL",
            "license": "9360064",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; 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.