Active NPI
Ladawn N. Cantu, R.N.C.W.H.N.P.
- Women's Health Nurse Practitioner
- Rockwall, TX
National Provider Identifier
1720167844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 551701
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 551701 | TX | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New 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
- 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.
-
- Gynecology Physician
- Rockwall, TX
- NPI 1578388484
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.