Active NPI
R. Kent Cannaday, Crna, PLLC
Doing business as N / a
- Certified Registered Nurse Anesthetist
- Nacogdoches, TX
National Provider Identifier
1568541308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 232573
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C38S | Other | TX | BCBS GROUP # |
| DC5332 | Other | TX | RAIL ROAD MEDICARE |
Other names 1
- N / A
National Provider Directory
National Provider DirectoryLocations
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.
-
- Certified Registered Nurse Anesthetist
- Nacogdoches, TX
- NPI 1801940770
Nurse Anesthetist, Certified Registered
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.