Active NPI
Andre Scott Canipe, CSA
- Surgical Assistant
- Shelby, NC
National Provider Identifier
1295003572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 3810
- Practice address
- 1829 E Marion St
Apt. 809
Shelby, NC 28152-6264 - Phone
- (704) 477-0423
- NPI assigned
- Dec 1, 2011
- Last updated
- Jun 21, 2015
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 3810 | NC | Primary |
Addresses
Primary practice location
1829 E Marion St
Apt. 809
Shelby, NC 28152-6264
Mailing address
1829 E Marion St
Apt. 809
Shelby, NC 28152-6264
Phone (704) 477-0423
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 |
|---|---|---|---|
| 3810 | NC | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434844800000",
"number": "1295003572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1829 E MARION ST",
"address_2": "APT. 809",
"city": "SHELBY",
"state": "NC",
"postal_code": "281526264",
"telephone_number": "704-477-0423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1829 E MARION ST",
"address_2": "APT. 809",
"city": "SHELBY",
"state": "NC",
"postal_code": "281526264",
"telephone_number": "704-477-0423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANIPE",
"first_name": "ANDRE",
"middle_name": "SCOTT",
"credential": "CSA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-12-01",
"last_updated": "2015-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "NC",
"license": "3810",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shelby, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.