Carly Sue Cano, FNPC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F08220631 Issued in TX

Practice address

402 Avenue H NW
Childress, TX 79201-3037

Phone

(806) 205-0871

NPI assigned

Aug 15, 2022

Last updated

Aug 15, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Credentials

Nurse Practitioner

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Em Alliance Texas, PLLC

  • Emergency Medicine Physician
  • Amarillo, TX
  • NPI 1902621329
  Medicare reassignment NPD
• Amarillo Urgent Care LLC

  • Family Medicine Physician
  • Amarillo, TX
  • NPI 1881895050
  Medicare reassignment
• Amarillo Primary Care PLLC

  • Family Medicine Physician
  • Amarillo, TX
  • NPI 1447761267
  NPD (past)

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1336867472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 AVENUE H NW",
            "city": "CHILDRESS",
            "state": "TX",
            "postal_code": "792013037",
            "telephone_number": "806-205-0871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 AVENUE H NW",
            "city": "CHILDRESS",
            "state": "TX",
            "postal_code": "792013037",
            "telephone_number": "806-205-0871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANO",
        "first_name": "CARLY",
        "middle_name": "SUE",
        "credential": "FNPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "F08220631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jimmie Wayne Bratton, D.D.S.
• Lauren Ashley Bratton, NP-C
• Karolyn M Brown, LPC-A
• Imelda Mely Burch, LPC
• Richard David Caldwell, M.D.
• Childress County Hospital District (Childress Regional Medical Center)
• Childress County Hospital District (Childress Regional Medical Center)
• Childress County Hospital District (CRMC)
• Childress County Hospital District (Childress Regional Medical Center)
• Childress County Hospital District (Childress Regional Medical Center)

• Family Nurse Practitioner in Childress, TX
• Providers in Childress, 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 Aug 15, 2022; 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.