Organization Active NPI

R. Kent Cannaday, Crna, PLLC

Doing business as N / a

  • Certified Registered Nurse Anesthetist
  • Nacogdoches, TX
National Provider Identifier
1568541308
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
232573 Issued in TX
Legal business name
R. KENT CANNADAY, CRNA, PLLC
Doing business as
N / a
Practice address
3610 N University Dr
Nacogdoches, TX 75965-2539
Phone
(936) 560-9599
NPI assigned
Nov 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Rodney Kent Cannaday, CRNA
Title
Owner
Phone
(936) 564-7400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X 232573 TX Primary

Addresses

Primary practice location

3610 N University Dr
Nacogdoches, TX 75965-2539

Mailing address

4011 Oak Creek Dr
Nacogdoches, TX 75965-6528
Phone (936) 564-7400

Other identifiers 2

IdentifierTypeStateIssuer
00C38SOtherTXBCBS GROUP #
DC5332OtherTXRAIL ROAD MEDICARE

Other names 1

  • N / A Doing business as

National Provider Directory

National Provider Directory

Locations

3302 N E Stallings Dr
Nacodoches, TX 75965
Phone (936) 560-4401

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568541308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4011 OAK CREEK DR",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759656528",
            "telephone_number": "936-564-7400",
            "fax_number": "936-560-0559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 N UNIVERSITY DR",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759652539",
            "telephone_number": "936-560-9599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R. KENT CANNADAY, CRNA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CANNADAY",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "KENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-564-7400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "232573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP #",
            "identifier": "00C38S",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "DC5332",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N / A",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nacogdoches, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.