Candace Lillian Direzza, PAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

CO 1444 Issued in CO

Practice address

3555 Lutheran Pkwy Ste 200
Wheat Ridge, CO 80033-6027

Phone

(720) 284-3700

NPI assigned

May 12, 2006

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

Medicare fee-for-service enrollment

Enrolled in CO

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cdirezza168028@direct.dhha.org

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.

• Denver Health and Hospital Authority

  • General Practice Physician
  • Denver, CO
  • NPI 1477569838
  Medicare reassignment NPD
• Denver Health and Hospital Authority

  • Psychiatric Hospital Unit
  • Denver, CO
  • NPI 1689624942
  NPD
• Denver Health

  • General Acute Care Hospital
  • Denver, CO
  • NPI 1568741122
  NPD (past)
• Denver Health and Hospital Authority

  dba Wellington E. Webb Center for Primary Care

  • Federally Qualified Health Center (FQHC)
  • Denver, CO
  • NPI 1922049014
  NPD (past)
• Denver Health Medical Center

  • General Acute Care Hospital
  • Denver, CO
  • NPI 1336573070
  NPD (past)

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370995200000",
    "number": "1942251228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9841 UPHAM DR",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800214070",
            "telephone_number": "303-422-4369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 LUTHERAN PKWY STE 200",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336027",
            "telephone_number": "720-284-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIREZZA",
        "first_name": "CANDACE",
        "middle_name": "LILLIAN",
        "name_prefix": "Mrs.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2013-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "CO 1444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45274819",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nina Catherine Dillon
• Christopher Dimarcella, LPC
• Jamie Lee Dinneen
• Katharine Dipalma
• Jeannine Marie Diperna
• Lori M Dirusso, MD
• Chelsea Brianna Dize, PH.D.
• Michael Steven Dobson
• Doctor's Hearing Care, Inc.
• Kelli L Dodge, D.C.

• Medical Physician Assistant in Wheat Ridge, CO
• Providers in Wheat Ridge, CO by specialty
• Medical Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.