Active NPI
Kimberly Jean Canela, HIS
- Hearing Instrument Specialist
- Cookeville, TN
National Provider Identifier
1447760731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 904
- Practice address
- 1080 Neal St Ste 101
Cookeville, TN 38501-0943 - Phone
- (931) 520-7070
- Fax
- (931) 520-4977
- NPI assigned
- Oct 2, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 904 | TN | Primary |
Addresses
Primary practice location
1080 Neal St Ste 101
Cookeville, TN 38501-0943
Mailing address
1080 Neal St Ste 101
Cookeville, TN 38501-0943
Phone (931) 520-7070
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 904 | TN | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506902400000",
"number": "1447760731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1080 NEAL ST STE 101",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385010943",
"telephone_number": "931-520-7070",
"fax_number": "931-520-4977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1080 NEAL ST STE 101",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385010943",
"telephone_number": "931-520-7070",
"fax_number": "931-520-4977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANELA",
"first_name": "KIMBERLY",
"middle_name": "JEAN",
"credential": "HIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-02",
"last_updated": "2017-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "TN",
"license": "904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cookeville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.