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Active NPI 1063243343 Individual Practitioner Female Practitioner

Candid Cumberbatch , LPN

Licensed Practical Nurse • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

Candid Cumberbatch, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Phoenix, AZ. Practice services are available at 3333 W ROOSEVELT ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3333 W Roosevelt St

Phoenix, AZ 850093403

Telephone 6027643000

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
332 Specialists

Practicing in Phoenix, AZ (1065 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-08-09
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License FL 5213154

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1225168909

GUIDANCECOUNSELOR

Tracy Tully , MS, CFY-SLP

Speech-Language Pathologist

NPI 1396267829

Master of Science, CFYSLP

Kelly Blunk , MS

Psychologist - School

NPI 1790977353

Master of Science

Barbara Davis , LAC

Counselor - School

NPI 1801012430

Licensed Acupuncturist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 09, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location August 09, 2024

Registered at 3333 W ROOSEVELT ST, PHOENIX, AZ 850093403 (Tel: 6027643000)

📍
Updated Business Mailing Address August 09, 2024

Registered at 4126 E ASHURST DR, PHOENIX, AZ 850480551 (Tel: 4042298884)

👤
Provider Name / Credentials Updated August 09, 2024

Recorded as CANDID CUMBERBATCH, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 09, 2024

Licensed Practical Nurse (License #5213154 in FL)

🟢
Initial NPI Registration & Enumeration August 09, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063243343
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 09, 2024
Last Update: August 09, 2024
Sole Proprietor: Yes

Mailing Address

4126 E Ashurst Dr

Phoenix, AZ 850480551

Phone: 4042298884

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.