Kandise Rose Marie Mooneyham
Nurse Practitioner - Family
About Kandise Rose Marie Mooneyham
Kandise Rose Marie Mooneyham is a female healthcare professional specializing in Nurse Practitioner - Family with a focus on Family, registered under National Provider Identifier (NPI) number 1962181115.
Kandise Rose Marie Mooneyham received her medical education at OTHER, graduating in 2023. Their primary practice is located at 80 TEMPLETON DR, Oswego, Illinois 60543. Patients can reach the office at (630) 554-3456.
In addition to the primary location, Kandise Rose Marie Mooneyham maintains 1 additional practice location. Kandise Rose Marie Mooneyham is affiliated with 2 hospitals in the area. Kandise Rose Marie Mooneyham is enrolled in Medicare and accepts Medicare patients, is authorized to order and refer Medicare services.
Kandise Rose Marie Mooneyham has been NPI-registered since 2023.
Key Metrics
Practice Locations
2
Affiliated Hospitals
2
Doctor Details
Identity & Credentials
- NPI Number
- 1962181115
- Entity Type
- Individual
- First Name
- Kandise
- Last Name
- Mooneyham
- Gender
- Female
- Medical School
- OTHER
- Graduation Year
- 2023
- Sole Proprietor
- Yes
- Status
- active
Primary Practice Location
- Address
- 80 TEMPLETON DR
- City
- Oswego
- State
- Illinois
- ZIP
- 60543-7000
- Country
- United States
- Phone
- (630) 554-3456
- Fax
- (630) 551-2970
Specialty & Taxonomy
- Primary Specialty
- Nurse Practitioner - Family
- Classification
- Nurse Practitioner
- Specialization
- Family
- Taxonomy Code
- 363LF0000X
NPI Registration
- Enumeration Date
- Last Updated
- Certification Date
Mailing Address
- Address
- 28594 NETWORK PL
- City
- CHICAGO
- State
- IL
- ZIP
- 606731285
Medicare Enrollment
- Medicare Enrolled
- Yes
- Can Order/Refer
- Yes
- Telehealth
- No
- Excluded
- No
Frequently Asked Questions
What is Kandise Rose Marie Mooneyham's NPI number?
What does Kandise Rose Marie Mooneyham specialize in?
Where is Kandise Rose Marie Mooneyham located?
Does Kandise Rose Marie Mooneyham accept Medicare?
Does Kandise Rose Marie Mooneyham offer telehealth or virtual visits?
What is an NPI Number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Kandise Rose Marie Mooneyham is 1962181115.