Erica Nicole Cannon, CNM

Individual provider Active NPI Advanced Practice Midwife · Seaford, DE

NPI 1104784172 · NPPES record last updated Aug 11, 2026

Key facts

NPI
1104784172
Entity type
Individual (NPI type 1)
Primary specialty
Advanced Practice Midwife 367A00000X
License
LK-0010264 (DE)
Practice address
21108 Atlanta Rd
Seaford, DE 19973-6526
Phone
(302) 362-2310
Fax
(302) 362-2310
NPI assigned
Jan 9, 2026
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare Care Compare profile

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

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

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
LK-0010264DEMDAdvanced Practice Midwife

Practice roles

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

Locations

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

Specialties & licenses

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

Addresses

Primary practice location

21108 Atlanta Rd
Seaford, DE 19973-6526

Mailing address

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

Other providers in Seaford, DE

All providers in Seaford, DE · Advanced Practice Midwife in Delaware

Sources for this page

Verify at the official NPI Registry.