Individual provider Active NPI

Erica Nicole Cannon, CNM

  • Advanced Practice Midwife
  • Seaford, DE
National Provider Identifier
1104784172
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
LK-0010264 Issued in DE
Practice address
21108 Atlanta Rd
Seaford, DE 19973-6526
Phone
(302) 362-2310
Fax
(302) 362-2310
NPI assigned
Jan 9, 2026
Last updated
Aug 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X LK-0010264 DE Primary

Addresses

Primary practice location

21108 Atlanta Rd
Seaford, DE 19973-6526

Mailing address

21108 Atlanta Rd
Seaford, DE 19973-6526
Phone (302) 362-2310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260317004533 DE Practitioner - Certified Nurse Midwife (CNM) 8022592187 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

21444 Carmean Way
George Town, DE 19947-4572

PO Box
Suite 5478
Pawtucket, RI 02862

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
LK-0010264DEMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
La Red Health Center, Inc. CurrentSince Mar 23, 2026 Accepting new patients
La Red Health Center, Inc CurrentSince Mar 23, 2026 Accepting new patients

Locations

21444 Carmean Way
Georgetown, DE 19947
Phone (302) 855-2020

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1767916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1104784172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21108 ATLANTA RD",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199736526",
            "telephone_number": "302-362-2310",
            "fax_number": "302-362-2310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21108 ATLANTA RD",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199736526",
            "telephone_number": "302-362-2310",
            "fax_number": "302-362-2310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNON",
        "first_name": "ERICA",
        "middle_name": "NICOLE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-09",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "DE",
            "license": "LK-0010264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seaford, DE

Sources for this page

Verify at the official NPI Registry.