Jennie K Canan, AU.D.
Individual provider Active NPI Audiologist · Washington, DC
NPI 1083723928 · NPPES record last updated Aug 17, 2009
Key facts
- NPI
- 1083723928
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- License
- 719 (MA)
- Practice address
- 6900 Georgia Ave NW
Washington, DC 20307-0003 - Phone
- (202) 782-8581
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 719 | MA | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 719 | MA | Yes |
Addresses
Primary practice location
6900 Georgia Ave NW
Washington, DC 20307-0003
Mailing address
6900 Georgia Ave NW
Washington, DC 20307-0003
Phone (202) 782-8581
Other providers in Washington, DC
- Jerome Canady
- Lashaun J Canady
- Stephanie Canady
- Justin Paul Canakis
- Juana Canales
- Apolonio Cachola Canaria Jr.
- Victoria Candace
- Courtney Candella
- Candid Washington D.C., PLLC
- Anthony Joseph Canete
All providers in Washington, DC · Audiologist in District of Columbia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.