Active NPI
Danielle Canning, PA-C
- Physician Assistant
- Windsor, CT
National Provider Identifier
1689274417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 4934
- Practice address
- 1055 Kennedy Rd
Windsor, CT 06095-1308 - Phone
- (860) 787-5786
- NPI assigned
- Oct 30, 2020
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 4934 | CT | Primary |
Addresses
Primary practice location
1055 Kennedy Rd
Windsor, CT 06095-1308
Mailing address
1055 Kennedy Rd
Windsor, CT 06095-1308
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
240 Spencer St
Manchester, CT 06040-4618
Phone (860) 474-3963
385 W Main St
Avon, CT 06001-4357
Phone (860) 777-6977
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.78 of 100
- Quality
- 85.61
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 46.45
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4934 | CT | MD | Physician Assistant |
Interoperability endpoints
- danielle.kerr@xdr.hhchealthdirect.org
Organizations & group practices 1
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.
-
- Urgent Care Clinic/Center
- Avon, CT
- NPI 1093239683
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644969600000",
"number": "1689274417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1055 KENNEDY RD",
"city": "WINDSOR",
"state": "CT",
"postal_code": "060951308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 KENNEDY RD",
"city": "WINDSOR",
"state": "CT",
"postal_code": "060951308",
"telephone_number": "860-787-5786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANNING",
"first_name": "DANIELLE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-30",
"last_updated": "2022-02-16",
"certification_date": "2022-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CT",
"license": "4934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Windsor, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; 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.