Active NPI
Candace S Cane, CRNP
- Family Nurse Practitioner
- Centreville, VA
National Provider Identifier
1982761078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0017001397
- Practice address
- 13880 Braddock Rd Ste 209
Lavonna Shade, Office Manager
Centreville, VA 20121-2463 - Phone
- (703) 818-2772
- Fax
- (703) 818-2773
- NPI assigned
- Jan 2, 2007
- Last updated
- May 16, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0017001397 | VA | Primary |
Addresses
Primary practice location
13880 Braddock Rd Ste 209
Lavonna Shade, Office Manager
Centreville, VA 20121-2463
Mailing address
13880 Braddock Rd Ste 209
Lavonna Shade, Office Manager
Centreville, VA 20121-2463
Phone (703) 818-2772
Other names 1
- Candace S Pattison
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0017001397 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piyush R Patel MD, PC | Past | Accepting new patients |
Interoperability endpoints
- candace.cane.1@29379.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Centreville, VA
- NPI 1639428840
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400198400000",
"number": "1982761078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13880 BRADDOCK RD STE 209",
"address_2": "LAVONNA SHADE, OFFICE MANAGER",
"city": "CENTREVILLE",
"state": "VA",
"postal_code": "201212463",
"telephone_number": "703-818-2772",
"fax_number": "703-818-2773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13880 BRADDOCK RD STE 209",
"address_2": "LAVONNA SHADE, OFFICE MANAGER",
"city": "CENTREVILLE",
"state": "VA",
"postal_code": "201212463",
"telephone_number": "703-818-2772",
"fax_number": "703-818-2773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANE",
"first_name": "CANDACE",
"middle_name": "S",
"name_prefix": "Ms.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-02",
"last_updated": "2014-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0017001397",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CANDACE",
"last_name": "PATTISON",
"middle_name": "S",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Centreville, VA
- Sarah Caitlin Brown, FNP
- Kim-Quyen Thi Bui, O.D.
- Katherine Alexandra Bukovsky
- Michelle Burton, PA-C
- Nicole Cady
- Carechoice Chiropractic Clinic, P.C.
- Carefree Land Chiropractic III, LLC
- Carepeople Home Health, Inc (CarePeople Home Health & Hospice)
- Careplus Medical LLC
- Adriana C Cartaya Mollejas, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.