Active NPI
Felicia A Canada, MD
- Family Medicine Physician
- Bradenton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME88134
- Practice address
- 11505 Rangeland Pkwy
Bradenton, FL 34211-4041 - Phone
- (941) 907-6016
- Fax
- (941) 907-0199
- NPI assigned
- May 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME88134 | FL | Primary |
Addresses
Primary practice location
11505 Rangeland Pkwy
Bradenton, FL 34211-4041
Mailing address
11505 Rangeland Pkwy
Bradenton, FL 34211-4041
Phone (941) 907-6016
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Felicia.Canada@img.directbygreenway.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Louisville School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Legacy Healthcare Services Inc
Practice addresses (Care Compare)
17470 Brookside Trace CT
Tampa, FL 33647-6201
Phone (813) 443-5042
Hospital & facility affiliations
- Sarasota Memorial Hospital
- Lakewood Ranch Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME88134 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intercoastal Medical Group Inc | Family Medicine | Current | Accepting new patients |
| Sacred Heart Health System, Inc. | Past | Accepting new patients | |
| Tri Hospital MRI Center | Past | Accepting new patients |
Locations
11505 Rangeland Pkwy
Bradenton, FL 34211
Phone (941) 907-6016
11505 Rangeland Pkwy
Fl 2
Bradenton, FL 34211
943 S Beneva Rd
Ste 306
Sarasota, FL 34232
Phone (941) 362-8644
921 S Beneva Rd
Sarasota, FL 34232
Phone (941) 365-7390
Interoperability endpoints
- felicia.canada@img.directbygreenway.com
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Sarasota, FL
- NPI 1578537767
-
- Urgent Care Clinic/Center
- Pensacola, FL
- NPI 1770533077
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Port Huron, MI
- NPI 1063581353
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bradenton, FL
- NPI 1730179714
-
- General Acute Care Hospital
- Sarasota, FL
- NPI 1245294826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729036800000",
"number": "1619928231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11505 RANGELAND PKWY",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342114041",
"telephone_number": "941-907-6016",
"fax_number": "941-907-0199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11505 RANGELAND PKWY",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342114041",
"telephone_number": "941-907-6016",
"fax_number": "941-907-0199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANADA",
"first_name": "FELICIA",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-16",
"last_updated": "2024-10-16",
"certification_date": "2024-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME88134",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Felicia.Canada@img.directbygreenway.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "11505 Rangeland Pkwy",
"city": "Bradenton",
"state": "FL",
"country_code": "US",
"postal_code": "342114041",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.