Individual provider Active NPI

Lauren Ann Caniano, ANP

  • Nurse Practitioner
  • Plattsburgh, NY
National Provider Identifier
1659606481
Registry record updated Oct 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F305266-1 Issued in NY
Practice address
206 Cornelia St
307
Plattsburgh, NY 12901-2779
Phone
(518) 562-7705
Fax
(518) 562-7706
NPI assigned
Oct 13, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F305266-1 NY Primary

Addresses

Primary practice location

206 Cornelia St
307
Plattsburgh, NY 12901-2779

Mailing address

3 Timberline Dr
Morrisonville, NY 12962-9696
Phone (518) 569-1808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100305000600 NY Practitioner - Nurse Practitioner 6800931510

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
305266NYMDEmergency Medicine Physician
F305266-1NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adirondack Pulmonary & Sleep Medicine PLLC CurrentSince Jun 7, 2017 Accepting new patients
Northern Lights Sleep Medicine, PC PastSince Aug 15, 1994 Accepting new patients

Locations

142 Boynton Ave
Ste A
Plattsburgh, NY 12901
Phone (518) 562-9119

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1255392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255392000000",
    "number": "1659606481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 TIMBERLINE DR",
            "city": "MORRISONVILLE",
            "state": "NY",
            "postal_code": "129629696",
            "telephone_number": "518-569-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 CORNELIA ST",
            "address_2": "307",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129012779",
            "telephone_number": "518-562-7705",
            "fax_number": "518-562-7706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANIANO",
        "first_name": "LAUREN",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-13",
        "last_updated": "2009-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F305266-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

Verify at the official NPI Registry.