Julie C Cannizzo, N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

302581 Issued in NY

Practice address

6800 E Genesee St
Suite 1501
Fayetteville, NY 13066

Phone

(315) 445-0003

NPI assigned

Jan 6, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Mar 3, 2023 through Mar 3, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Medical Weight Loss of New York, PLLC

  • Obesity Medicine (Family Medicine) Physician
  • Fayetteville, NY
  • NPI 1174940696
  NPD (past)

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

{
    "created_epoch": "1420502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420502400000",
    "number": "1235527870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 E GENESEE ST",
            "address_2": "SUITE 1501",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130661089",
            "telephone_number": "315-445-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 E GENESEE ST",
            "address_2": "SUITE 1501",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "13066",
            "telephone_number": "315-445-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNIZZO",
        "first_name": "JULIE",
        "middle_name": "C",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-06",
        "last_updated": "2015-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "302581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph L Byrne, MD
• Michael F Cadin, D.D.S.
• Robert Cady, MD
• Callahan, Flanagan & Smith Orthodontics
• John D. Callahan Jr., D.D.S., M.S.
• Phoebe Geralyn Cannon, LCSW
• Phillip Capozzi, MD
• Melissa Carman, PH.D.
• Gavin Geoffrey Carvey, PHARMD
• Patrick F Casey, PH.D.

• All providers in Fayetteville, NY
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.