Kenadee Canada, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1167647 Issued in TX

Practice address

5302 Buffalo Gap Rd Ste 100
Abilene, TX 79606-4247

Phone

(325) 677-2801

NPI assigned

Jul 15, 2024

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

Enrolled in TX

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Professional Assn for Pediatrics

  • Pediatrics Physician
  • Abilene, TX
  • NPI 1316957731
  Medicare reassignment NPD

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

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1235976440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 COLORADO",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796062404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5302 BUFFALO GAP RD STE 100",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796064247",
            "telephone_number": "325-677-2801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1850 Hickory St",
            "address_purpose": "LOCATION",
            "city": "Abilene",
            "state": "TX",
            "postal_code": "796012325",
            "country_code": "US",
            "telephone_number": "325-677-2801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANADA",
        "first_name": "KENADEE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1167647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lashondria Renee Camp, M.D.
• Holly Sue Campbell, COTA
• Lori Michelle Campbell, PHARMD
• Jaci Rae Campo, DDS
• Crystal Canada, SLP
• Kirk A Canada, P.T. , D.P.T
• Daniel G Canario, M.D.
• Caroline Janski Cannan
• Frances Alison Capko, PHARMD
• Jay Donald Capra, M.D.

• Family Nurse Practitioner in Abilene, TX
• Providers in Abilene, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.