Individual provider Active NPI

Nancy Canyon, LMP

  • Specialist
  • Bellingham, WA
National Provider Identifier
1295164945
Registry record updated Nov 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA8493
Practice address
907 Harris Ave Ste 203
Bellingham, WA 98225-7005
Phone
(360) 710-7139
NPI assigned
Nov 4, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X MA8493
Specialist 174400000X MA8493 Primary

Addresses

Primary practice location

907 Harris Ave Ste 203
Bellingham, WA 98225-7005

Mailing address

910 Harris Ave # A206
Bellingham, WA 98225-7008
Phone (360) 710-7139

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

NPI Registry JSON

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383523200000",
    "number": "1295164945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 HARRIS AVE # A206",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982257008",
            "telephone_number": "360-710-7139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 HARRIS AVE STE 203",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982257005",
            "telephone_number": "360-710-7139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANYON",
        "first_name": "NANCY",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-04",
        "last_updated": "2013-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": "MA8493",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": "MA8493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2013; 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.