Individual provider Active NPI

Mashandra Elam Canty, DNP, MSN, BSN

  • Perinatal Clinical Nurse Specialist
  • Fayetteville, NC
National Provider Identifier
1396455184
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Perinatal Clinical Nurse SpecialistTaxonomy code 364SP1700X
License
680208 Issued in TX
Practice address
4727 Ritson LN
Fayetteville, NC 28306-9751
Phone
(210) 836-5257
NPI assigned
Dec 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Perinatal Clinical Nurse Specialist 364SP1700X 680208 TX Primary

Addresses

Primary practice location

4727 Ritson LN
Fayetteville, NC 28306-9751

Mailing address

4727 Ritson LN
Fayetteville, NC 28306-9751
Phone (210) 836-5257

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
Bachelor on Science - Nursing, Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
680208TXMDPerinatal Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1669852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1396455184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4727 RITSON LN",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283069751",
            "telephone_number": "210-836-5257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4727 RITSON LN",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283069751",
            "telephone_number": "210-836-5257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELAM CANTY",
        "first_name": "MASHANDRA",
        "name_prefix": "Dr.",
        "credential": "DNP, MSN, BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-01",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP1700X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Perinatal",
            "state": "TX",
            "license": "680208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; 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.