CANDICE RENEE DOUGLAS FNP-C
NPI 1164314738
Nurse Practitioner - Family in Fort Leonard Wood, MO
NPI Status: Active since July 17, 2025
Contact Information
4430 MISSOURI AVE
FORT LEONARD WOOD, MO
ZIP 65473
Phone: (573) 596-0456
- Individual
- Female
- Nurse Practitioner
- Family
About CANDICE DOUGLAS
This page provides the complete NPI Profile along with additional information for Candice Douglas, a provider established in Fort Leonard Wood, Missouri with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1164314738 assigned on July 2025. The practitioner's primary taxonomy code is 363LF0000X with license number 2025029778 (MO). The provider is registered as an individual and her NPI record was last updated December 2025.
- NPI
- 1164314738
- Provider Name
- CANDICE RENEE DOUGLAS FNP-C
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 4430 MISSOURI AVE FORT LEONARD WOOD, MO 65473
- Location Phone
- (573) 596-0456
- Mailing Address
- 129 JARED ST WAYNESVILLE, MO 65583
- Mailing Phone
- (573) 596-0456
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-17-2025
- Last Update Date
- 12-30-2025
- Code Navigator
A nurse practitioner (NP) like Candice Douglas is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 2025029778
- License State
- MO
Reviews for CANDICE RENEE DOUGLAS FNP-C
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1164314738, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 62 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
FORT LEONARD WOOD, MO 65473
FORT LEONARD WOOD, MO 65473
FORT LEONARD WOOD, MO 65473
FORT LEONARD WOOD, MO 65473
FORT LEONARD WOOD, MO 65473
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164314738, enumerated as an "individual" on July 17, 2025.
The provider is located at 4430 MISSOURI AVE FORT LEONARD WOOD, MO 65473 and the phone number is (573) 596-0456.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
