Active NPI
Jalieet M Canosa, LICENSED MIDWIFE
- Midwife
- Cape Coral, FL
National Provider Identifier
1205187267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- MW257
- Practice address
- 726 SE 12TH Ave
Cape Coral, FL 33990-2917 - Phone
- (973) 557-8052
- NPI assigned
- Sep 30, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | MW257 | FL | Primary |
Addresses
Primary practice location
726 SE 12TH Ave
Cape Coral, FL 33990-2917
Mailing address
726 SE 12TH Ave
Cape Coral, FL 33990-2917
Phone (973) 557-8052
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MW257 | Other | FL | LICENSED MIDWIFE |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MW257 | FL | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348963200000",
"number": "1205187267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "726 SE 12TH AVE",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339902917",
"telephone_number": "973-557-8052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "726 SE 12TH AVE",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339902917",
"telephone_number": "973-557-8052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANOSA",
"first_name": "JALIEET",
"middle_name": "M",
"credential": "LICENSED MIDWIFE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-30",
"last_updated": "2012-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "FL",
"license": "MW257",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED MIDWIFE",
"identifier": "MW257",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.