Individual provider Active NPI

Candida S Lopes, ANP-BC

  • Adult Health Nurse Practitioner
  • Fall River, MA
National Provider Identifier
1972855195
Registry record updated Apr 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN271288 Issued in MA
Practice address
211 Milliken Blvd.
Fall River, MA 02721-1604
Phone
(508) 674-5200
Fax
(508) 675-1719
NPI assigned
Oct 11, 2012
Last updated
Apr 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN271288 MA Primary

Addresses

Primary practice location

211 Milliken Blvd.
Fall River, MA 02721-1604

Mailing address

211 Milliken Blvd.
Fall River, MA 02721-1604
Phone (508) 674-5200

Other practice location 1

200 Mill Rd Ste 190
Fairhaven, MA 02719-5259
Phone (508) 973-0857

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ccosta19768@direct.southcoast.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20121211000179 MA Practitioner - Nurse Practitioner 8224280698 Reassigns benefits to 1 organization
I20230922000327 RI Practitioner - Nurse Practitioner 8224280698 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HDC Care Solutions LLCGroup PAC ID 0345634770, 190 clinicians
Value Based Long Term Care H PCGroup PAC ID 4587104641, 145 clinicians

Practice addresses (Care Compare)

135 Dodge St
Providence, RI 02907-2210
Phone (888) 964-6681

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN271288MAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
HDC Care Solutions, LLC Adult Health CurrentSince Sep 21, 2023 Accepting new patients
Value Based Long Term Care H PC CurrentSince May 10, 2025 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Apr 16, 2017 Accepting new patients
Healthdrive Medical Services Southeast LLC Adult Health CurrentSince Aug 1, 2025 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Apr 16, 2017 Accepting new patients

Locations

200 Mill Rd
Ste 190
Fairhaven, MA 02719
Phone (508) 973-0857

534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766

100 Crossing Blvd
Ste 300
Framingham, MA 01702
Phone (857) 255-0486

135 Dodge St
Providence, RI 02907
Phone (401) 383-5150

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1349913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1972855195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 MILLIKEN BLVD.",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027211604",
            "telephone_number": "508-674-5200",
            "fax_number": "508-675-1719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 MILLIKEN BLVD.",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027211604",
            "telephone_number": "508-674-5200",
            "fax_number": "508-675-1719"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Mill Rd Ste 190",
            "address_purpose": "LOCATION",
            "city": "Fairhaven",
            "state": "MA",
            "postal_code": "027195259",
            "country_code": "US",
            "telephone_number": "508-973-0857",
            "fax_number": "508-973-2176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPES",
        "first_name": "CANDIDA",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-11",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "RN271288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ccosta19768@direct.southcoast.org",
            "affiliation": "N",
            "endpointDescription": "Southcoast Health Epic Direct Address",
            "address_1": "200 Mill Rd Ste 190",
            "city": "Fairhaven",
            "state": "MA",
            "country_code": "US",
            "postal_code": "027195259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.