Individual provider Active NPI

Candice Diane Moore

  • Family Nurse Practitioner
  • Arlington, TX
National Provider Identifier
1972043131
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP133309 Issued in TX
Practice address
4401 Park Springs Blvd Ste 100
Arlington, TX 76017-1899
Phone
(817) 807-9060
Fax
(817) 419-4505
NPI assigned
Mar 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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 AP133309 TX Primary

Addresses

Primary practice location

4401 Park Springs Blvd Ste 100
Arlington, TX 76017-1899

Mailing address

4401 Park Springs Blvd Ste 100
Arlington, TX 76017-1899
Phone (817) 807-9060

Other names 1

  • Candice Thompson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20171116002030 TX Practitioner - Nurse Practitioner 0244596740 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Clinic of North Texas, PLLCGroup PAC ID 9830084540, 212 clinicians

Practice addresses (Care Compare)

4401 Park Springs Blvd
Suite 100
Arlington, TX 76017-1899
Phone (817) 807-9060

Hospital & facility affiliations

  • Medical City Arlington Hospital, Arlington, TX, CCN 450675

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP133309TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Clinic of North Texas, PLLC CurrentSince Apr 1, 2025 Accepting new patients
Medical Clinic of North Texas PLLC CurrentSince Apr 1, 2025 Accepting new patients
Wellmed Medical Group, P.a. CurrentSince Apr 10, 2023 Accepting new patients
Wellmed Medical Group, PA CurrentSince Apr 10, 2023 Accepting new patients
First Family Healthcare Associates, P.a. PastSince Jun 1, 2004 Accepting new patients

Locations

809 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 277-7133

4401 Park Springs Blvd
Ste 100
Arlington, TX 76017
Phone (817) 807-9060

1412 May St
Ft Worth, TX 76104
Phone (817) 625-8818

800 8th Ave
Ste 528
Ft Worth, TX 76104
Phone (817) 336-5633

2201 Forest Ln
Garland, TX 75042
Phone (972) 276-3515

900 Airport Fwy
Ste 158
Hurst, TX 76054
Phone (817) 514-4000

448 Castroville Rd
San Antonio, TX 78207
Phone (210) 434-1400

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

Interoperability endpoints

  • Direct secure messaging: candice.moore@wellmed.eclinicaldirectplus.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1972043131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 PARK SPRINGS BLVD STE 100",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760171899",
            "telephone_number": "817-807-9060",
            "fax_number": "817-419-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 PARK SPRINGS BLVD STE 100",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760171899",
            "telephone_number": "817-807-9060",
            "fax_number": "817-419-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CANDICE",
        "middle_name": "DIANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-06",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP133309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CANDICE",
            "last_name": "THOMPSON",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.