Individual provider Active NPI

Harriet Eyvonne Cadle, CFNP

  • Family Nurse Practitioner
  • Canton, GA
National Provider Identifier
1114958824
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
149820 Issued in GA
Practice address
157 Reinhardt College Pkwy Ste 200
Canton, GA 30114-1700
Phone
(770) 517-7844
Fax
(678) 494-7196
NPI assigned
Jul 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 149820 GA Primary
Pediatrics Physician 208000000X RN149820 GA

Addresses

Primary practice location

157 Reinhardt College Pkwy Ste 200
Canton, GA 30114-1700

Mailing address

157 Reinhardt College Pkwy Ste 200
Canton, GA 30114-1700
Phone (770) 517-7844

Other identifiers 1

IdentifierTypeStateIssuer
935695492MMedicaidGA

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
149820GAMDFamily Nurse Practitioner

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24076/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1114958824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 REINHARDT COLLEGE PKWY STE 200",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301141700",
            "telephone_number": "770-517-7844",
            "fax_number": "678-494-7196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 REINHARDT COLLEGE PKWY STE 200",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301141700",
            "telephone_number": "770-517-7844",
            "fax_number": "678-494-7196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CADLE",
        "first_name": "HARRIET",
        "middle_name": "EYVONNE",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "149820",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "RN149820",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "935695492M",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.

Verify at the official NPI Registry.