Vinson Carl Candela

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

4290 Miller Rd Ste 4
Flint, MI 48507-1283

Phone

(810) 285-9765

NPI assigned

Feb 17, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• The Gym Fitness Center, LLC

  • Athletic Trainer
  • Flint, MI
  • NPI 1326630344
  NPD

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

{
    "created_epoch": "1613520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1972196285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13121 GRANT CIR",
            "city": "CLIO",
            "state": "MI",
            "postal_code": "484208100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4290 MILLER RD STE 4",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485071283",
            "telephone_number": "810-285-9765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANDELA",
        "first_name": "VINSON",
        "middle_name": "CARL",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-17",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Campbell, BSW
• Kimberly Ann Campbell, LLMSW
• Mallory Lynn Campbell, RN
• Sara K Campbell
• Dante Andrew Candela, PA-C
• Kaitlyn T Canning, COTA/L
• Latoya Cannon
• Shawna Cannon
• Tiffany Rashaune Cannon, DPT
• Robert Cannoy, LMSW

• Athletic Trainer in Flint, MI
• Providers in Flint, MI by specialty
• Athletic Trainer in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.