Individual provider Active NPI

John William Cann, MSN, FNP-BC, APRN

  • Family Nurse Practitioner
  • Revere, MA
National Provider Identifier
1124645007
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2298986 Issued in MA
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

Updated by the provider on Jun 29, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
S26425787MedicaidMA

Other names 1

  • Mr. John William Cann Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
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.

Verify at the official NPI Registry.