Active NPI
Camille Ava Loanzon Canlas, CRNP
- Family Nurse Practitioner
- Columbia, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R188878
- Practice address
- 10175 Little Patuxent Pkwy
Columbia, MD 21044-2655 - Phone
- (800) 561-0861
- NPI assigned
- Nov 14, 2011
- Last updated
- Apr 1, 2021
- 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 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC, PA, WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
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
- Meritus Medical Center IncWalnut Street Community Health Center, Inc.
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Partners Plus PLLC | Current | Accepting new patients | |
| Walnut Street Community Health Center, Inc. | Current | Accepting new patients | |
| Consonant Healing Medical Associates | Current | Accepting new patients | |
| Consonant Healing Associates of de LLC | Current | Accepting new patients | |
| Walnut Street Community Health Center, Inc. | Current | 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
- camille.canlas.1@30195.direct.athenahealth.com
- camille.canlas.p1@direct.familyhch.nextgenshare.com
- camilleava.loanzon@554941067886596.direct.elationemr.com
- cloanzon@allerdocs.ssdirect.aprima.com
- 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.
-
- Federally Qualified Health Center (FQHC)
- Hagerstown, MD
- NPI 1366425266
-
- Interventional Pain Medicine Physician
- Hagerstown, MD
- NPI 1962463265
DC
-
dba Family Healthcare Pharmacy
- Community/Retail Pharmacy
- Hagerstown, MD
- NPI 1871234294
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; 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.