Individual provider Active NPI

Candace Renae Vinson

  • Family Nurse Practitioner
  • Huntington, WV
National Provider Identifier
1952947533
Registry record updated Nov 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
104264 Issued in WV
Practice address
3377 Route 60 E
Huntington, WV 25705
Phone
(304) 399-3310
NPI assigned
Nov 19, 2019
Last updated
Nov 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 104264 WV Primary

Addresses

Primary practice location

3377 Route 60 E
Huntington, WV 25705

Mailing address

2150 Blue Lick Rd
Winfield, WV 25213-7713
Phone (304) 881-3649

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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

Enrollment IDStateProvider typePAC IDDetails
I20191220001431 WV Practitioner - Nurse Practitioner 7416381694 Reassigns benefits to 10 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
104264WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Health Systems, Inc. CurrentSince Jan 15, 2020 Accepting new patients
Valley Health Systems Inc Current Accepting new patients
Valley Health Systems, Inc. CurrentSince Oct 13, 2020 Accepting new patients
Valley Health Systems Inc CurrentSince Aug 6, 2021 Accepting new patients
Valley Health Systems Inc Family Current Accepting new patients
Valley Health Systems Inc CurrentSince Aug 6, 2021 Accepting new patients
Valley Health Systems Inc Current Accepting new patients
Valley Health Systems Inc Current Accepting new patients
Valley Health Systems, Inc. CurrentSince Dec 1, 2019 Accepting new patients
Valley Health Systems, Inc. CurrentSince Dec 1, 2019 Accepting new patients
Valley Health Systems Inc CurrentSince Aug 6, 2021 Accepting new patients
Valley Health Systems, Inc. Family CurrentSince Aug 16, 2021 Accepting new patients
Valley Health Systems, Inc. CurrentSince Dec 1, 2019 Accepting new patients
Valley Health Systems Inc CurrentSince Mar 22, 2022 Accepting new patients
Valley Health Systems Inc CurrentSince Aug 6, 2021 Accepting new patients
Valley Health Systems Inc Current Accepting new patients
Valley Health Systems Inc PastSince Nov 24, 2019 Accepting new patients
Valley Health Systems Inc Past Accepting new patients

Locations

6350 US Route 60 E
Barboursville, WV 25504
Phone (304) 399-3350

864 Oakwood Rd
Charleston, WV 25314
Phone (304) 343-2807

1246 McClellan Hwy
Harts, WV 25524
Phone (304) 310-1246

22 Fleming Dr
Harts, WV 25524
Phone (304) 855-4595

1 Highlander Way
Huntington, WV 25701
Phone (304) 528-6445

1 Timberwolf Ln
Huntington, WV 25704
Phone (304) 429-1699

2585 3rd Ave
Huntington, WV 25703
Phone (304) 697-1396

2908 Auburn Rd
Huntington, WV 25704
Phone (304) 781-5800

930 2nd St
Huntington, WV 25701
Phone (304) 528-2070

1100 Hospital Dr
Hurricane, WV 25526
Phone (304) 757-8683

3729 Teays Valley Rd
Ste 100
Hurricane, WV 25526
Phone (304) 760-6040

220 Johns Creek Rd
Milton, WV 25541
Phone (304) 743-1407

11315 US Route 60
Ona, WV 25545
Phone (304) 743-7495

100 Pioneer Rd
Wayne, WV 25570
Phone (304) 272-3783

42 McGinnis Dr
Wayne, WV 25570
Phone (304) 272-5136

Interoperability endpoints

  • Direct secure messaging: cvinson19969@valleyhealthsystems.direct-ci.com

Organizations & group practices 18

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574121600000",
    "number": "1952947533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 BLUE LICK RD",
            "city": "WINFIELD",
            "state": "WV",
            "postal_code": "252137713",
            "telephone_number": "304-881-3649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3377 ROUTE 60 E",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "25705",
            "telephone_number": "304-399-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINSON",
        "first_name": "CANDACE",
        "middle_name": "RENAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-19",
        "last_updated": "2019-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "104264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.