Individual provider Active NPI

Elvia Amparo Canola

  • Rehabilitation Psychologist
  • Orlando, FL
National Provider Identifier
1457149486
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PsychologistTaxonomy code 103TR0400X
Practice address
7747 Jubilee Park Blvd Apt 1124
Orlando, FL 32822-1317
Phone
(213) 530-0538
NPI assigned
Apr 29, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Psychologist 103TR0400X Primary

Addresses

Primary practice location

7747 Jubilee Park Blvd Apt 1124
Orlando, FL 32822-1317

Mailing address

7747 Jubilee Park Blvd Apt 1124
Orlando, FL 32822-1317
Phone (321) 353-0538

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

NPI Registry JSON

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

{
    "created_epoch": "1745884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1457149486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7747 JUBILEE PARK BLVD APT 1124",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328221317",
            "telephone_number": "321-353-0538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7747 JUBILEE PARK BLVD APT 1124",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328221317",
            "telephone_number": "213-530-0538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANOLA",
        "first_name": "ELVIA",
        "middle_name": "AMPARO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-29",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.