Individual provider Active NPI

Claudia Carolina Cannon, NP-C

  • Family Nurse Practitioner
  • Newark, DE
National Provider Identifier
1578870523
Registry record updated Sep 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG-0000537 Issued in DE
Practice address
179 W Chestnut Hill Rd
Suite 6
Newark, DE 19713-2210
Phone
(302) 731-0828
Fax
(302) 731-0027
NPI assigned
Sep 10, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X LG-0000537 DE Primary

Addresses

Primary practice location

179 W Chestnut Hill Rd
Suite 6
Newark, DE 19713-2210

Mailing address

179 W Chestnut Hill Rd
Suite 6
Newark, DE 19713-2210
Phone (302) 731-0828

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

State licenses

LicenseStateTypeSpecialty
LG-0000537DEMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1284076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284076800000",
    "number": "1578870523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 W CHESTNUT HILL RD",
            "address_2": "SUITE 6",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132210",
            "telephone_number": "302-731-0828",
            "fax_number": "302-731-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 W CHESTNUT HILL RD",
            "address_2": "SUITE 6",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132210",
            "telephone_number": "302-731-0828",
            "fax_number": "302-731-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNON",
        "first_name": "CLAUDIA",
        "middle_name": "CAROLINA",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-10",
        "last_updated": "2010-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0000537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2010; 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.