Individual provider Active NPI

Camille Ava Loanzon Canlas, CRNP

  • Family Nurse Practitioner
  • Columbia, MD
National Provider Identifier
1659658052
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R188878 Issued in MD
Practice address
10175 Little Patuxent Pkwy
Columbia, MD 21044-2655
Phone
(800) 561-0861
NPI assigned
Nov 14, 2011
Last updated
Apr 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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 R188878 MD Primary

Addresses

Primary practice location

10175 Little Patuxent Pkwy
Columbia, MD 21044-2655

Mailing address

909 Ridgebrook Rd Ste 220
Sparks, MD 21152-9476
Phone (443) 383-9300

Other names 1

  • Camille Ava Loanzon Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, PA, WV4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20120831000600 MD Practitioner - Nurse Practitioner 2163679861 Reassigns benefits to 3 organizations
I20130708000439 DC Practitioner - Nurse Practitioner 2163679861 Reassigns benefits to 1 organization
I20190715000850 PA Practitioner - Nurse Practitioner 2163679861 Reassigns benefits to 1 organization
I20210901001619 WV Practitioner - Nurse Practitioner 2163679861 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healing Partners Plus PLLCGroup PAC ID 4284155425, 125 clinicians
Meritus Medical Center IncGroup PAC ID 7113811795, shared by 8 NPIs, 730 clinicians
Consonant Healing Associates of de LLCGroup PAC ID 2466871694, 81 clinicians
Walnut Street Community Health Center, Inc.Group PAC ID 6305757402, shared by 2 NPIs, 18 clinicians
Consonant Healing Medical AssociatesGroup PAC ID 1254662695, 103 clinicians

Practice addresses (Care Compare)

10440 Little Patuxent Pkwy
Suite 300
Columbia, MD 21044-3648
Phone (888) 402-0202

11110 Medical Campus Rd
Hagerstown, MD 21742-6700

1263 S George St
A
Charles Town, WV 25414-4384
Phone (443) 383-9300

201 S Cleveland Ave
Hagerstown, MD 21740-5745
Phone (301) 745-3777

905 Tower Rd
Suite 3188
Bristol, PA 19007-3116
Phone (443) 383-9300

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Partners Plus PLLC CurrentSince Sep 1, 2025 Accepting new patients
Walnut Street Community Health Center, Inc. CurrentSince Oct 16, 2023 Accepting new patients
Consonant Healing Medical Associates CurrentSince Mar 3, 2021 Accepting new patients
Consonant Healing Associates of de LLC CurrentSince Jul 16, 2021 Accepting new patients
Walnut Street Community Health Center, Inc. CurrentSince Oct 16, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

10440 Little Patuxent Pkwy
Ste 300
Columbia, MD 21044
Phone (240) 203-4457

919 Seton Dr
Cumberland, MD 21502
Phone (301) 777-0622

201 S Cleveland Ave
Hagerstown, MD 21740
Phone (301) 745-3777

909 Ridgebrook Rd
Ste 220
Sparks Glencoe, MD 21152

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

905 Tower Rd
#3188
Bristol, PA 19007
Phone (215) 785-3201

1263 S George St
#A
Charles Town, WV 25414

1263 S George St
Ste A
Charles Town, WV 25414

2600 Middletown Cmns
Fl 1
White Hall, WV 26554
Phone (844) 401-4663

Interoperability endpoints

  • Direct secure messaging: camille.canlas.1@30195.direct.athenahealth.com
  • Direct secure messaging: camille.canlas.p1@direct.familyhch.nextgenshare.com
  • Direct secure messaging: camilleava.loanzon@554941067886596.direct.elationemr.com
  • Direct secure messaging: cloanzon@allerdocs.ssdirect.aprima.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

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": "1321228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1659658052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 RIDGEBROOK RD STE 220",
            "city": "SPARKS",
            "state": "MD",
            "postal_code": "211529476",
            "telephone_number": "443-383-9300",
            "fax_number": "301-790-1377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10175 LITTLE PATUXENT PKWY",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442655",
            "telephone_number": "800-561-0861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANLAS",
        "first_name": "CAMILLE AVA",
        "middle_name": "LOANZON",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-14",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R188878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAMILLE",
            "last_name": "LOANZON",
            "middle_name": "AVA",
            "credential": "CRNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.