Canon Clinic LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

CANON CLINIC LLC

Practice address

401 Ryland St Ste 200a
Reno, NV 89502-1643

Phone

(702) 829-7544

Fax

(702) 745-0851

NPI assigned

Nov 13, 2023

Last updated

Sep 30, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ginikachukwu Awoke

Title

FNP

Phone

(702) 829-7544

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ginikachukwu Awoke Egbujie, APRN

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1033994256
  NPD
• Ngozi Njoku, NP

  • Family Nurse Practitioner
  • Anchorage, AK
  • NPI 1366123598
  NPD

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

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1689448417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 RYLAND ST STE 200A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 RYLAND ST STE 200A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021643",
            "telephone_number": "702-829-7544",
            "fax_number": "702-745-0851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANON CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-13",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "AWOKE",
        "authorized_official_first_name": "GINIKACHUKWU",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "702-829-7544"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Canner Peterson, A.P.N.
• Alice Lynne Cannon
• Piper Cannon, DDS
• Joseph Michael Cannone, MD
• Roxanne J Cano
• Holly Canon
• Cathy Jo Cantrell, M.D.
• Elvonda Jean Cantrell
• Jeanine Cantrell
• Kari Cantrell, PHARM.D.

• Family Nurse Practitioner in Reno, NV
• Providers in Reno, NV by specialty
• Family Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.