CANDUS NICOLE ANTOLIN MD
NPI 1316449820
Psychiatry & Neurology - Child & Adolescent Psychiatry in Tacoma, WA

Q: What is Candus Antolin's NPI number?

The NPI number for Candus Antolin is 1316449820. It was assigned to this individual provider in the NPPES registry on March 1, 2018.

Q: What is Candus Antolin's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Q: When was this NPI record last updated?

The NPPES record for Candus Antolin was last updated on April 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 01, 2018

9923A E. JOHNSON ST, MADIGAN ANNEX, JBLM, TACOMA, WA 98498(253) 968-6485 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 3, 2025, Nov 18, 2022, Aug 15, 2022 and 3 more (6 updates tracked since 2018).

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About Candus Nicole Antolin Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CANDUS NICOLE ANTOLIN MD (NPI 1316449820) is an individual child & adolescent psychiatry provider in Tacoma, Washington, licensed in Hawaii (MD-21233) and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1316449820

Entity TypeIndividualFemale

Primary Taxonomy2084P0804X

Provider Legal NameCANDUS NICOLE ANTOLINCredential: MD

Location Address9923A E. JOHNSON ST, MADIGAN ANNEX, JBLMTacoma, WA 98498

Mailing Address9923a E. Johnson St, Madigan Annex, JblmTacoma, WA 98498

Phone(253) 968-6485

Sole ProprietorNo

Enumeration DateMarch 1, 2018

Last NPPES UpdateApril 3, 20256 updates tracked since enumeration

NPPES CertifiedApril 3, 2025

✔ NPI 1316449820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

License✔ Licensed in HI · MD-21233

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

9923A E. JOHNSON ST, Tacoma, WA 98498

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Other Identifiers 1

OtherVAD000Medicare Upin

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Candus Antolin's NPI number?

The NPI number for Candus Antolin is 1316449820. It was assigned to this individual provider in the NPPES registry on March 1, 2018.

Where is Candus Antolin located?

Candus Antolin practices at 9923A E. Johnson St Madigan Annex, Jblm, Tacoma, WA 98498. The listed phone number is (253) 968-6485.

What is Candus Antolin's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

When was this NPI record last updated?

The NPPES record for Candus Antolin was last updated on April 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.