Individual provider Active NPI

Michelle Caneda, MSN APRN FNP-C

  • Nurse Practitioner
  • Austin, TX
National Provider Identifier
1568047504
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1033274 Issued in TX
Practice address
1106 Clayton LN Ste 102
Austin, TX 78723-1066
Phone
(512) 872-6868
NPI assigned
Mar 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 734233 TX
Nurse Practitioner 363L00000X 1033274 TX Primary

Addresses

Primary practice location

1106 Clayton LN Ste 102
Austin, TX 78723-1066

Mailing address

1106 Clayton LN Ste 102
Austin, TX 78723-1066

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20221214002879 TX Practitioner - Nurse Practitioner 9638548654 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
734233TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Nluc PLLC Current Accepting new patients
Nluc PLLC CurrentSince Nov 28, 2022 Accepting new patients
Family Medicine Center of Austin, P.a. CurrentSince Mar 6, 2024 Accepting new patients
Nluc PLLC CurrentSince Nov 28, 2022 Accepting new patients

Locations

1106 Clayton Ln
Ste 102W
Austin, TX 78723
Phone (512) 453-7356

1500 W 38th St
Ste 20
Austin, TX 78731
Phone (512) 458-5323

1246 N FM 3083 Rd W
Ste B
Conroe, TX 77304

5718 Westheimer Rd
Ste 1800
Houston, TX 77057

2701 S Highway 183
Ste B
Leander, TX 78641
Phone (512) 259-5111

5211 FM 2920 Rd
Ste 101
Spring, TX 77388

16312 Southwest Fwy
Ste 18
Sugar Land, TX 77479

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FJEECD

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1615420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1568047504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 CLAYTON LN STE 102",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787231066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 CLAYTON LN STE 102",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787231066",
            "telephone_number": "512-872-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANEDA",
        "first_name": "MICHELLE",
        "credential": "MSN APRN FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-11",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "734233",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1033274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.