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KANDACE EAGLE MN ARNP PMHNP-BC NPI 1477884815


NPI Information

NPI: 1477884815
Provider Name: KANDACE EAGLE, MN, ARNP, PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Organization: COMPASS HEALTH SYSTEMS PA

PECOS Registration: Yes

Address:
10301 HAGEN RANCH ROAD
B6
BOYNTON BEACH, FL
ZIP 33437
Phone: (888) 852-6672
Get Directions

Kandace Eagle, MN, ARNP, PMHNP-BC is a psychiatric/mental health nurse practitioner in Boynton Beach, FL with 13 years of experience. Kandace Eagle, MN, ARNP, PMHNP-BC NPI is 1477884815. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10301 HAGEN RANCH ROAD
B6
BOYNTON BEACH, FL
ZIP 33437-723
Phone: (888) 852-6672
Fax: (786) 235-6225

The NPI 1477884815 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Drug screen, qualitative; multiple drug classes by high complexity test method (e.g., immunoassay, enzyme assay), per patient encounter (HCPCS:G0431)

The enumeration date for this NPI number is 1/25/2010 and was last updated on 9/8/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163W00000XRegistered NurseRN9324290FLORIDANo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthARNP 9324290FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1FS433ZOTHERFLORIDAMEDICARE PTAN
2FS433ZMEDICARE PINFLORIDA
3004296900MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.