Active NPI
John William Cann, MSN, FNP-BC, APRN
- Family Nurse Practitioner
- Revere, MA
National Provider Identifier
1124645007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN2298986
- Practice address
- 655 Broadway
Revere, MA 02151-2347 - Phone
- (617) 285-8731
- NPI assigned
- Jun 26, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Registered Nurse | 163WS0121X | RN2298986 | MA | |
| Health Educator | 174H00000X | RN2298986 | MA | |
| Acute Care Nurse Practitioner | 363LA2100X | RN2298986 | MA | |
| Family Nurse Practitioner | 363LF0000X | RN2298986 | MA | Primary |
Addresses
Primary practice location
655 Broadway
Revere, MA 02151-2347
Mailing address
111 Derby Rd
Revere, MA 02151-1803
Phone (617) 285-8731
Other practice location 1
111 Derby Rd
Cerebral - Telehealth/Telemedicine
Revere, MA 02151-1803
Phone (617) 285-8731
Other practice location 2
111 Derby Rd
Revere, MA 02151-1803
Phone (617) 285-8731
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S26425787 | Medicaid | MA |
Other names 1
- Mr. John William Cann
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | RXNT.com | Direct |
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
- Credentials
- Master of Science - Nursing
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656460800000",
"number": "1124645007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 DERBY RD",
"city": "REVERE",
"state": "MA",
"postal_code": "021511803",
"telephone_number": "617-285-8731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 BROADWAY",
"city": "REVERE",
"state": "MA",
"postal_code": "021512347",
"telephone_number": "617-285-8731"
}
],
"practiceLocations": [
{
"address_1": "111 Derby Rd",
"address_2": "Cerebral - Telehealth/Telemedicine",
"address_purpose": "LOCATION",
"city": "Revere",
"state": "MA",
"postal_code": "021511803",
"country_code": "US",
"telephone_number": "617-285-8731",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "111 Derby Rd",
"address_purpose": "LOCATION",
"city": "Revere",
"state": "MA",
"postal_code": "021511803",
"country_code": "US",
"telephone_number": "617-285-8731",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CANN",
"first_name": "JOHN",
"middle_name": "WILLIAM",
"name_prefix": "Mr.",
"credential": "MSN, FNP-BC, APRN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-06-26",
"last_updated": "2022-06-29",
"certification_date": "2022-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0121X",
"taxonomy_group": "",
"desc": "Registered Nurse, Plastic Surgery",
"state": "MA",
"license": "RN2298986",
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "MA",
"license": "RN2298986",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "MA",
"license": "RN2298986",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "RN2298986",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "S26425787",
"state": "MA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "RXNT.com",
"affiliation": "N",
"endpointDescription": "EMR/EHR HIPPA COMPLIANT with E-scripts and Billing. Access to patient portal via RXNT for Patient App",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "EMR/EHR",
"address_1": "111 Derby Rd",
"city": "Revere",
"state": "MA",
"country_code": "US",
"postal_code": "021511803",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JOHN",
"last_name": "CANN",
"middle_name": "WILLIAM",
"prefix": "MR.",
"credential": "MSN, FNP-C, APRN",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Revere, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.