William Jessie Cantrell

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

Uscgc Spencer, Wmec-905
4000 Coast Guard Blvd.
Portsmouth, VA 23703

Phone

(757) 483-8784

NPI assigned

Oct 27, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1689338469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 COAST GUARD BLVD",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237032135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "USCGC SPENCER, WMEC-905",
            "address_2": "4000 COAST GUARD BLVD.",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "23703",
            "telephone_number": "757-483-8784"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "HSWL Base Portsmouth",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "VA",
            "postal_code": "23703",
            "country_code": "US",
            "telephone_number": "757-686-4228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANTRELL",
        "first_name": "WILLIAM",
        "middle_name": "JESSIE",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-27",
        "last_updated": "2021-10-27",
        "certification_date": "2021-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Joel Canales, IDHS
• Kathleen Ann Cannon, M.D.
• Mischelle J. Canter, P.T.
• Aaron Cantor, M.D.
• Addison Gevins Cantor
• Dionne Canty
• Canty'S Comfort Transportation LLC
• Michelle Capestany- Drake, R.N
• Gregory Gerard Capra, M.D.
• Adrian A. Caras, CRNA

• Independent Duty Corpsman in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Independent Duty Corpsman in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.