Active NPI
Candace Irene Myer, RN
- Case Management Registered Nurse
- Twentynine Palms, CA
National Provider Identifier
1932755352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Registered Nurse
- License
- 761884
- Practice address
- McAgcc MCCS Stepping Stones
Del Zalle Dr Building 693
Twentynine Palms, CA 92277 - Phone
- (760) 830-3355
- NPI assigned
- Aug 12, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 761884 | CA | |
| Case Management Registered Nurse | 163WC0400X | 761884 | CA | Primary |
Addresses
Primary practice location
McAgcc MCCS Stepping Stones
Del Zalle Dr Building 693
Twentynine Palms, CA 92277
Mailing address
3685 Vista Campana N Unit 42
Oceanside, CA 92057-8111
Phone (747) 301-1411
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 761884 | CA | MD | Community Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565568000000",
"number": "1932755352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3685 VISTA CAMPANA N UNIT 42",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920578111",
"telephone_number": "747-301-1411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MCAGCC MCCS STEPPING STONES",
"address_2": "DEL ZALLE DR BUILDING 693",
"city": "TWENTYNINE PALMS",
"state": "CA",
"postal_code": "92277",
"telephone_number": "760-830-3355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYER",
"first_name": "CANDACE",
"middle_name": "IRENE",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-12",
"last_updated": "2019-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "CA",
"license": "761884",
"primary": false
},
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "CA",
"license": "761884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Twentynine Palms, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.