Individual provider Active NPI

Catherine Caldwell Canale, RN

  • Child & Adolescent Psychiatric/Mental Health Registered Nurse
  • Osceola, AR
National Provider Identifier
1336561471
Registry record updated Dec 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0807X
License
R095058 Issued in AR
Practice address
1487 W Keiser Ave Ste I
Osceola, AR 72370-2806
Phone
(870) 563-4500
Fax
(870) 563-4501
NPI assigned
Jan 8, 2014
Last updated
Dec 8, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X R095058 AR Primary
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X RTP-013866 AR
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X RN0000065843 TN

Addresses

Primary practice location

1487 W Keiser Ave Ste I
Osceola, AR 72370-2806

Mailing address

700 Indiana St
Blytheville, AR 72315-1408
Phone (901) 647-2567

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R095058ARMDChild & Adolescent Psychiatric/Mental Health Registered Nurse
RTP-013866ARMDChild & Adolescent Psychiatric/Mental Health Registered Nurse
RN0000065843TNMDChild & Adolescent Psychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Life Strategies Counseling, Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1389139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417996800000",
    "number": "1336561471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 INDIANA ST",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "723151408",
            "telephone_number": "901-647-2567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1487 W KEISER AVE STE I",
            "city": "OSCEOLA",
            "state": "AR",
            "postal_code": "723702806",
            "telephone_number": "870-563-4500",
            "fax_number": "870-563-4501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANALE",
        "first_name": "CATHERINE",
        "middle_name": "CALDWELL",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-08",
        "last_updated": "2014-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "AR",
            "license": "R095058",
            "primary": true
        },
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "AR",
            "license": "RTP-013866",
            "primary": false
        },
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "TN",
            "license": "RN0000065843",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Osceola, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2014; 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.