CANDACE WOMACK
Nurse Practitioner (Psychiatric/Mental Health)

Address: 2727 W Garrison Ave, Baltimore, MD 21215-5332

CANDACE WOMACK (NPI# 1578141602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578141602
Entity Type Individual
Full Name CANDACE WOMACK
Gender Female
Credential CRNP-PMHNP
Practice Address 2727 W Garrison Ave
Baltimore
MD 21215-5332
Practice Telephone 4433145417
Mailing Address 2727 W Garrison Ave
Baltimore
MD 21215-5332
Mailing Telephone 4433145417
Certification Date 2021-03-30
Enumeration Date 2021-03-30
Last Update Date 2021-03-30
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 363LP0808X Nurse Practitioner
Specialization: Psychiatric/Mental Health
R206908 MD Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2727 W GARRISON AVE
City BALTIMORE
State MD
Zip Code 21215-5332

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NPI Name Taxonomy Address Enumeration
1780275958 Nuwave Health Services Substance Abuse Rehabilitation Facility 3530 Manchester Avenue, Baltimore, MD 21215 2021-02-01
1154946432 Kara Ashby Student in an Organized Health Care Education/Training Program 2401 W. Belvedere Avenue, Baltimore, MD 21215 2020-06-11
1639736796 Talal Abalkhail Student in an Organized Health Care Education/Training Program 2401 W. Belvedere Avenue, Baltimore, Md 21215, Baltimore, MD 21215 2019-05-23
1235795410 Bilal Khan Student in an Organized Health Care Education/Training Program 2041 West Belvedere Avenue, Balitmore, MD 21215 2019-05-14
1669036067 Nasir M Alhamdan Student in an Organized Health Care Education/Training Program Of Baltimore, 2401 West Belvedere Ave, Baltimore, MD 21215 2019-05-01
1851863971 Brittany Michelle O'Neill Specialist/Technologist Hearing and Speech Agency, 5900 Metro Drive, Baltimore, MD 21215 2018-12-31
1881164432 Emily Gamma Social Worker - Clinical 4810 Seton Drive, Baltimore, MD 21215 2018-11-27
1518440478 Benson Baby Physical Therapist 2525west Belveder Ave, Baltimore, MD 21215 2018-09-07
1609360817 Bonnie Kahler Clinical Nurse Specialist - Psych/Mental Health 2401 Belvedere Avenue, Baltimore, MD 21215 2018-06-20
1932693843 Kelley Monica Cohill Social Worker - Clinical Sinai Hospital, Department of Psychiatry, 2440 Cylburn Ave., Baltimore, MD 21215 2018-06-15
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psychiatric/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790366193 Long Integrated Psychiatric Services LLC Nurse Practitioner - Psych/Mental Health 7652 Belair Rd Ste A, Baltimore, MD 21236-4067 2021-04-16
1477133395 Jami Townes Nurse Practitioner - Psych/Mental Health 6603 Copper Ridge Dr Apt T1, Baltimore, MD 21209-2148 2021-04-13
1760060636 Walter Lewis Toller IIi Nurse Practitioner - Psych/Mental Health 2439 E Lafayette Ave, Baltimore, MD 21213-2562 2021-03-31
1487249025 Olayemi Tosin Ayilegbe Nurse Practitioner - Psych/Mental Health 400 E Patapsco Ave, Baltimore, MD 21225-1830 2021-03-05
1497349997 Blue Spring Wellness Center LLC · Blue Spring Wellness Center LLC Nurse Practitioner - Psych/Mental Health 807 East Baltimore St, Unit 1a, Baltimore, MD 21202-5388 2021-02-24
1497347660 Mary Ranti Alabi Nurse Practitioner - Psych/Mental Health 3001 S Hanover Street, Baltimore, Md 21225, Baltimore, MD 21225-2122 2021-02-09
1083210447 Ashlee Joyce Crawford Nurse Practitioner - Psych/Mental Health 2 E Wells St Apt 356, Baltimore, MD 21230-4945 2020-12-09
1992308696 Marshall James Nurse Practitioner - Psych/Mental Health 601 N Eutaw St Apt 518, Baltimore, MD 21201-7410 2020-11-17
1013516590 Yohannes Berihun Tegegne Nurse Practitioner - Psych/Mental Health 11 E Lexington St Ste 600, Baltimore, MD 21202-1711 2020-10-26
1184233595 Imani House Medical Services Nurse Practitioner - Psych/Mental Health 6101 Park Heights Ave Apt 1d, Baltimore, MD 21215-3640 2020-07-31
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City BALTIMORE
Zip Code 21215

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.