NPIMap

Individual provider Active NPI

Heidi Cannan, FNP

  • Family Nurse Practitioner
  • Rome, NY
National Provider Identifier
1598258121
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F343018-1 Issued in NY
Practice address
1500 N James St
Rome, NY 13440-2844
Phone
(315) 338-7220
NPI assigned
Jun 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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 F343018-1 NY Primary

Addresses

Primary practice location

1500 N James St
Rome, NY 13440-2844

Mailing address

1500 N James St
Rome, NY 13440-2844
Phone (315) 338-7220

Other practice location 1

267 Avery Ln Ste 300
Rome, NY 13441-4240
Phone (315) 337-3071

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180710000561 NY Practitioner - Nurse Practitioner 5395091185 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Josephs Medical PCGroup PAC ID 4688855844, 388 clinicians

Practice addresses (Care Compare)

1500 N James St
Rome, NY 13440-2844
Phone (315) 338-7000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
343018NYMDLicensed Practical Nurse
F343018-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Medical PC Current Accepting new patients
Rome Memorial Hospital, Inc. Current Accepting new patients
MVHS Inc CurrentSince Jul 30, 2018 Accepting new patients
St Josephs Medical PC CurrentSince Apr 14, 2020 Accepting new patients
MVHS Inc CurrentSince Jul 30, 2018 Accepting new patients

Locations

7980 State Route 12
Barneveld, NY 13304
Phone (315) 624-8440

5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592

107 E Chestnut St
Ste 102
Rome, NY 13440
Phone (315) 338-9200

1500 N James St
Rome, NY 13440
Phone (315) 338-7000

301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111

1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567

Interoperability endpoints

  • Direct secure messaging: hcannan@rmh.medalliesdirect.net
  • Direct secure messaging: hcannan@rmhclinics.medentdirect.com
  • Direct secure messaging: hcannan2386847@direct.trinity-health.org

Organizations & group practices 5

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1528416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1598258121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N JAMES ST",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134402844",
            "telephone_number": "315-338-7220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N JAMES ST",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134402844",
            "telephone_number": "315-338-7220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "267 Avery Ln Ste 300",
            "address_purpose": "LOCATION",
            "city": "Rome",
            "state": "NY",
            "postal_code": "134414240",
            "country_code": "US",
            "telephone_number": "315-337-3071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANNAN",
        "first_name": "HEIDI",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-08",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F343018-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, NY

Sources for this page

Verify at the official NPI Registry.