Active NPI
Shydia Gail Cannady
- Peer Specialist
- North East, MD
National Provider Identifier
1033783154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- D97E10095MD
- Practice address
- 19 Merion Cir
North East, MD 21901-3830 - Phone
- (646) 704-1985
- NPI assigned
- May 13, 2021
- Last updated
- May 13, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | D97E10095MD | MD | Primary |
Addresses
Primary practice location
19 Merion Cir
North East, MD 21901-3830
Mailing address
19 Merion Cir
North East, MD 21901-3830
Phone (646) 704-1985
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D97E10095MD | MD | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620864000000",
"number": "1033783154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 MERION CIR",
"city": "NORTH EAST",
"state": "MD",
"postal_code": "219013830",
"telephone_number": "646-704-1985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 MERION CIR",
"city": "NORTH EAST",
"state": "MD",
"postal_code": "219013830",
"telephone_number": "646-704-1985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANNADY",
"first_name": "SHYDIA",
"middle_name": "GAIL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-13",
"last_updated": "2021-05-13",
"certification_date": "2021-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "MD",
"license": "D97E10095MD",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North East, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.