NPIMap

Individual provider Active NPI

Alexa Canavan, APRN-C

  • Adult Health Nurse Practitioner
  • Branford, CT
National Provider Identifier
1669134045
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
10095 Issued in CT
Practice address
251 W Main St
Branford, CT 06405-4047
Phone
(204) 481-0077
NPI assigned
Oct 12, 2021
Last updated
Feb 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 10095 CT Primary

Addresses

Primary practice location

251 W Main St
Branford, CT 06405-4047

Mailing address

164 Limewood Ave
Branford, CT 06405-5325

Other names 1

  • Alexa Edmunds Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address alexa.canavan@xdr.hhchealthdirect.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211203001314 CT Practitioner - Nurse Practitioner 9739579822 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HHC Physician Services PLLCGroup PAC ID 9537573357, 140 clinicians

Practice addresses (Care Compare)

1 Cellini PL
Suite 102
West Haven, CT 06516-1666
Phone (203) 932-6481

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10095CTMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, Inc. Internal Medicine CurrentSince Jul 17, 2023 Accepting new patients
HHC Physician Services, PLLC Internal Medicine CurrentSince Jan 6, 2025 Accepting new patients
Mill Hill Medical Consultants Inc CurrentSince Jul 17, 2023 Accepting new patients
HHC Physician Services, PLLC CurrentSince Jan 6, 2025 Accepting new patients
Mark a. Perrotti,M.D.LLC Internal Medicine CurrentSince Mar 9, 2022 Accepting new patients

Locations

251 W Main St
Branford, CT 06405
Phone (203) 315-5300

251 W Main St
Ste 5
Branford, CT 06405
Phone (203) 481-0077

322 E Main St
Ste 1B
Branford, CT 06405
Phone (203) 488-7228

500 E Main St
Branford, CT 06405
Phone (203) 481-5665

1952 Whitney Ave
New Haven, CT 06517
Phone (203) 553-7626

1952 Whitney Ave
Ste 3
New Haven, CT 06517
Phone (203) 288-0129

250 Indian River Rd
Ste 300
Orange, CT 06477
Phone (203) 738-7700

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

Interoperability endpoints

  • Direct secure messaging: aedmunds14687@direct.ynhh.org

Organizations & group practices 5

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1669134045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 LIMEWOOD AVE",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064055325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 W MAIN ST",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064054047",
            "telephone_number": "204-481-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANAVAN",
        "first_name": "ALEXA",
        "credential": "APRN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-12",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "10095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alexa.canavan@xdr.hhchealthdirect.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1 Cellini Pl Ste 102",
            "city": "West Haven",
            "state": "CT",
            "country_code": "US",
            "postal_code": "065161666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ALEXA",
            "last_name": "EDMUNDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Branford, CT

Sources for this page

Verify at the official NPI Registry.