Tatiana Canon

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1151294 Issued in TX

Practice address

6306 Fairbanks N Houston Rd
Houston, TX 77040-5192

Phone

(832) 831-9094

NPI assigned

Jul 13, 2023

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Providence Physician AssociatesGroup PAC ID 8022354638, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Providence Physician Associates

  • Urgent Care Clinic/Center
  • Houston, TX
  • NPI 1760919880
  Medicare reassignment Care Compare group NPD
• Brazos Medical Center

  • Family Medicine Physician
  • Houston, TX
  • NPI 1811453293
  NPD (past)

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

{
    "created_epoch": "1689206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1467131706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10523 ALCOTT DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770432002",
            "telephone_number": "832-248-9586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6306 FAIRBANKS N HOUSTON RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770405192",
            "telephone_number": "832-831-9094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10523 Alcott Dr",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770432002",
            "country_code": "US",
            "telephone_number": "832-248-9586",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANON",
        "first_name": "TATIANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-13",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1151294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Clavel Cano, NP
• Sofia Cano, PHD
• Canoe Chiropractic Clinic LLC
• Canoe Dialysis LLC
• Canon Healthcare LLC
• Yanis Canova, APRN, FNP-C
• Elvia Canseco, M.D
• Jose Canseco, LSA
• Breanna D Cansler, LCSW
• Rita Cantarero-Rodriguez

• Family Nurse Practitioner in Houston, TX
• Providers in Houston, 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 May 22, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.