Kimberley Alyse Cannaday, APRN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5015147 Issued in NC

Practice address

547 N Justice St
Hendersonville, NC 28739-4251

Phone

(828) 692-5096

NPI assigned

Oct 1, 2021

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 NC

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

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kcannaday920366@direct.unc.nchie.net

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.

• Henderson County Hospital Corporation

  • Federally Qualified Health Center (FQHC)
  • Hendersonville, NC
  • NPI 1518696236
  Medicare reassignment NPD
• Henderson County Hospital Corporation

  • Community/Retail Pharmacy
  • Hendersonville, NC
  • NPI 1013694165
  NPD
• Henderson County Hospital Corporation

  • Multi-Specialty Clinic/Center
  • Hendersonville, NC
  • NPI 1447444559
  NPD (past)

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

{
    "created_epoch": "1633046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1376215020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 KATIE JANE DR",
            "city": "HORSE SHOE",
            "state": "NC",
            "postal_code": "287428600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "547 N JUSTICE ST",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287394251",
            "telephone_number": "828-692-5096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNADAY",
        "first_name": "KIMBERLEY",
        "middle_name": "ALYSE",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-01",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5015147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy J Calcagni, PA-C
• John E Caldemeyer, M.D.
• Hannah Nicole Campbell, OTR/L
• Leslie Campbell, MD
• Sausan Tahtawi Campbell, M.D.
• James Cannon Jr., DDS
• Matthew R Cannon, O.D.
• Tandy Israel Cannon, LCMHC
• Erika Cappelluti, MD
• Stephen Joseph Capps, M.D.

• Family Nurse Practitioner in Hendersonville, NC
• Providers in Hendersonville, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; 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.