Active NPI
Candace Smith
- Certified Registered Nurse Anesthetist
- Fayetteville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 113398
- Practice address
- 1638 Owen Dr
Fayetteville, NC 28304-3424 - Phone
- (910) 615-4000
- NPI assigned
- Oct 22, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 113398 | NC | Primary |
Addresses
Primary practice location
1638 Owen Dr
Fayetteville, NC 28304-3424
Mailing address
1638 Owen Dr
Fayetteville, NC 28304-3424
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
240 Hospital Dr NE
Bolivia, NC 28422-8346
Phone (336) 399-7678
Hospital & facility affiliations
- Novant Health Brunswick Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 113398 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bladen Healthcare LLC | Current | Accepting new patients | |
| Novant Health Clemmons Outpatient Surgery, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Novant Health Matthews Medical Center LLC | Current | Accepting new patients | |
| The Presbyterian Hospital | Current | Accepting new patients | |
| Forsyth Memorial Hospital, Inc. | Current | Accepting new patients | |
| Forsyth Memorial Hospital, Inc. | Current | Accepting new patients | |
| Forsyth Memorial Hospital, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| The Presbyterian Hospital | Current | Accepting new patients | |
| Novant Health Rowan Medical Center, LLC | Current | Accepting new patients | |
| The Presbyterian Hospital | Current | Accepting new patients | |
| Bladen Healthcare LLC | Current | Accepting new patients | |
| Novant Health Thomasville Medical Center LLC | Current | Accepting new patients | |
| NMG Southpark Services, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Novant Health Clemmons Outpatient Surgery, LLC | Current | Accepting new patients | |
| Presbyterian Sameday Surgery Center at Ballantyne LLC | Current | Accepting new patients | |
| Presbyterian Sameday Surgery Center at Huntersville LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Novant Health Rowan Medical Center LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Presbyterian Sameday Surgery Center at Huntersville LLC | Current | Accepting new patients | |
| Presbyterian Sameday Surgery Center at Ballantyne LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Novant Health Thomasville Medical Center, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Medical Park Hospital LLC | Current | Accepting new patients | |
| Novant Health Kernersville Outpatient Surgery LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Novant Health Mint Hill Medical Center, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Brunswick Community Hospital, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Medical Park Hospital LLC | Current | Accepting new patients | |
| Novant Health Kernersville Outpatient Surgery LLC | Current | Accepting new patients |
Locations
240 Hospital Dr NE
Bolivia, NC 28422
Phone (336) 399-7678
200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424
6035 Fairview Rd
Charlotte, NC 28210
Phone (336) 718-2078
8201 Healthcare Loop
Charlotte, NC 28215
Phone (980) 302-1000
14215 Ballantyne Corporate Pl
Ste 210
Charlotte, NC 28277
Phone (704) 316-2650
7210 Village Medical Cir
Ste 235
Clemmons, NC 27012
Phone (336) 893-3100
501 S Poplar St
Elizabethtown, NC 28337
Phone (910) 862-4043
1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610
10030 Gilead Rd
Huntersville, NC 28078
Phone (704) 316-4000
1730 Kernersville Medical Pkwy
Ste 304
Kernersville, NC 27284
Phone (336) 515-7000
1500 Matthews Township Pkwy
Matthews, NC 28105
Phone (704) 384-6500
612 Mocksville Ave
Salisbury, NC 28144
Phone (704) 210-5000
13 Medical Campus Dr NW
#101
Supply, NC 28462
Phone (910) 721-4300
207 Old Lexington Rd
Thomasville, NC 27360
Phone (336) 472-2000
3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800
1950 S Hawthorne Rd
Winston Salem, NC 27103
Phone (336) 718-0600
Organizations & group practices 26
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.
-
- Certified Registered Nurse Anesthetist
- Bolivia, NC
- NPI 1669725198
Nurse Anesthetist, Certified Registered
-
- Critical Access Hospital
- Elizabethtown, NC
- NPI 1558537282
-
- Family Medicine Physician
- Winston Salem, NC
- NPI 1104548874
-
- Specialist
- Winston-Salem, NC
- NPI 1003867516
-
- Certified Registered Nurse Anesthetist
- Charlotte, NC
- NPI 1952690109
Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- Clemmons, NC
- NPI 1528521887
-
- Ambulatory Surgical Clinic/Center
- Kernersville, NC
- NPI 1750892659
-
- Specialist
- Matthews, NC
- NPI 1184782419
-
- Certified Registered Nurse Anesthetist
- Charlotte, NC
- NPI 1063910404
Nurse Anesthetist, Certified Registered
-
- Neurology Physician
- Salisbury, NC
- NPI 1508931544
Nurse Anesthetist, Certified Registered
-
- Specialist
- Thomasville, NC
- NPI 1033160205
Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- Charlotte, NC
- NPI 1215061049
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bolivia, NC
- NPI 1710915756
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477094400000",
"number": "1922559111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1638 OWEN DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283043424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1638 OWEN DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283043424",
"telephone_number": "910-615-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "CANDACE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-22",
"last_updated": "2016-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "113398",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.