Individual provider Active NPI

Ladawn N. Cantu, R.N.C.W.H.N.P.

  • Women's Health Nurse Practitioner
  • Rockwall, TX
National Provider Identifier
1720167844
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
551701 Issued in TX
Practice address
1005 W Ralph Hall Pkwy Ste 107
Rockwall, TX 75032-6663
Phone
(469) 769-1961
Fax
(469) 769-1905
NPI assigned
Nov 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 551701 TX Primary

Addresses

Primary practice location

1005 W Ralph Hall Pkwy Ste 107
Rockwall, TX 75032-6663

Mailing address

4305 Glistening SPGS
Rowlett, TX 75088-8026
Phone (214) 244-8260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
551701TXMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brown Wolf LLC Current Accepting new patients

Locations

1005 W Ralph Hall Pkwy
Ste 107
Rockwall, TX 75032
Phone (469) 769-1961

Interoperability endpoints

  • Direct secure messaging: ladawn.cantu.1@19060.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1720167844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4305 GLISTENING SPGS",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750888026",
            "telephone_number": "214-244-8260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 W RALPH HALL PKWY STE 107",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750326663",
            "telephone_number": "469-769-1961",
            "fax_number": "469-769-1905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTU",
        "first_name": "LADAWN",
        "middle_name": "N.",
        "credential": "R.N.C.W.H.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "551701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.