Individual provider Active NPI

Jennifer Cannizzaro, CRNP

  • Family Nurse Practitioner
  • Austin, TX
National Provider Identifier
1659752889
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP015076 Issued in PA
Practice address
2021 Guadalupe St Ste 260
Austin, TX 78705-5654
Phone
(346) 372-7216
NPI assigned
Jun 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP015076 PA Primary
Family Nurse Practitioner 363LF0000X 1139956 TX

Addresses

Primary practice location

2021 Guadalupe St Ste 260
Austin, TX 78705-5654

Mailing address

2021 Guadalupe St Ste 260
Austin, TX 78705-5654
Phone (346) 372-7216

Other practice location 1

141 E Palace Ave Ste 101
Santa Fe, NM 87501-2041
Phone (657) 500-0634

Other practice location 2

3295 W Elder St Ste 209
Boise, ID 83705-4772
Phone (657) 500-8370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20171011002396 FL Practitioner - Nurse Practitioner 6406169630 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP015076PAMDFamily Nurse Practitioner
1139956TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bicycle Health Medical Group PA CurrentSince Mar 19, 2025 Accepting new patients
Bicycle Health Provider Group Inc. PastSince Dec 17, 2023 Accepting new patients

Locations

1400 16th St
Ste 400
Denver, CO 80202
Phone (303) 473-0707

100 S Ashley Dr
Ste 600
Tampa, FL 33602
Phone (813) 766-4218

6901 W Emerald St
Ste 203A
Boise, ID 83704

2021 Guadalupe St
Ste 260
Austin, TX 78705
Phone (202) 932-9958

700 Milam St
Ste 100
Houston, TX 77002

444 S Center St
#1
Casper, WY 82601

Interoperability endpoints

  • Direct secure messaging: jennifer.cannizzaro.2@18731.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1434067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1659752889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 GUADALUPE ST STE 260",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787055654",
            "telephone_number": "346-372-7216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 GUADALUPE ST STE 260",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787055654",
            "telephone_number": "346-372-7216"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "141 E Palace Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875012041",
            "country_code": "US",
            "telephone_number": "657-500-0634",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3295 W Elder St Ste 209",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837054772",
            "country_code": "US",
            "telephone_number": "657-500-8370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANNIZZARO",
        "first_name": "JENNIFER",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-12",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP015076",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1139956",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.