Individual provider Active NPI

Candice Roberts, FNP-C

  • Family Nurse Practitioner
  • Houma, LA
National Provider Identifier
1982264552
Registry record updated Jun 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
206236 Issued in LA
Practice address
895 Verret St
Houma, LA 70360-4635
Phone
(985) 200-3225
NPI assigned
Jun 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 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 206236 LA Primary

Addresses

Primary practice location

895 Verret St
Houma, LA 70360-4635

Mailing address

895 Verret St
Houma, LA 70360-4635
Phone (985) 200-3225

Other identifiers 1

IdentifierTypeStateIssuer
206236OtherLASTATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Www.golavie.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
206236LAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560729600000",
    "number": "1982264552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 VERRET ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604635",
            "telephone_number": "985-200-3225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 VERRET ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604635",
            "telephone_number": "985-200-3225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "CANDICE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-17",
        "last_updated": "2019-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "206236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "206236",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Www.golavie.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "address_1": "895 Verret St",
            "city": "Houma",
            "state": "LA",
            "country_code": "US",
            "postal_code": "703604635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houma, LA

Sources for this page

Verify at the official NPI Registry.