Individual provider Active NPI

Genevieve R Canete

  • Family Nurse Practitioner
  • Cannon AFB, NM
National Provider Identifier
1740839257
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
181676 Issued in AK
Practice address
224 W D.L. Ingram Avenue
BLDG 1408
Cannon AFB, NM 88103
Phone
(575) 784-2778
NPI assigned
Sep 6, 2019
Last updated
Oct 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 181676 AK Primary
Primary Care Nurse Practitioner 363LP2300X 181676 AK
Women's Health Nurse Practitioner 363LW0102X 181676 AK
Registered Nurse 163W00000X 33861 AK
Registered Nurse 163W00000X NURR33861 AK

Addresses

Primary practice location

224 W D.L. Ingram Avenue
BLDG 1408
Cannon AFB, NM 88103

Mailing address

224 W D. L. Ingram Avenue
BLDG 1408
Cannon AFB, NM 88103

Other practice location 1

701 Hospital Loop
Fairchild AFB, WA 99011-8704
Phone (509) 247-5755

Other practice location 2

8901 Rockville Pike
Bethesda, MD 20889-0001
Phone (301) 295-4000

Other practice location 3

3100 Schofield Rd
Fort Sam Houston, TX 78234-7577
Phone (210) 916-3000

Other practice location 4

2330 Stanley Rd
San Antonio, TX 78234-2733
Phone (210) 221-1211

Other practice location 5

221 3rd St W
Randolph AFB, TX 78150-4800
Phone (210) 916-9900

Other practice location 6

1100 Wilford Hall Loop
Lackland AFB, TX 78236-5638
Phone (210) 292-4277

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

State licenses

LicenseStateTypeSpecialty
33861AKMDRegistered Nurse
NURR33861AKMDRegistered Nurse
181676AKMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1567728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1740839257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 W D. L. INGRAM AVENUE",
            "address_2": "BLDG 1408",
            "city": "CANNON AFB",
            "state": "NM",
            "postal_code": "88103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 W D.L. INGRAM AVENUE",
            "address_2": "BLDG 1408",
            "city": "CANNON AFB",
            "state": "NM",
            "postal_code": "88103",
            "telephone_number": "575-784-2778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Hospital Loop",
            "address_purpose": "LOCATION",
            "city": "Fairchild AFB",
            "state": "WA",
            "postal_code": "990118704",
            "country_code": "US",
            "telephone_number": "509-247-5755",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8901 Rockville Pike",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208890001",
            "country_code": "US",
            "telephone_number": "301-295-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3100 Schofield Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Sam Houston",
            "state": "TX",
            "postal_code": "782347577",
            "country_code": "US",
            "telephone_number": "210-916-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2330 Stanley Rd",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782342733",
            "country_code": "US",
            "telephone_number": "210-221-1211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "221 3rd St W",
            "address_purpose": "LOCATION",
            "city": "Randolph AFB",
            "state": "TX",
            "postal_code": "781504800",
            "country_code": "US",
            "telephone_number": "210-916-9900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 Wilford Hall Loop",
            "address_purpose": "LOCATION",
            "city": "Lackland AFB",
            "state": "TX",
            "postal_code": "782365638",
            "country_code": "US",
            "telephone_number": "210-292-4277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANETE",
        "first_name": "GENEVIEVE",
        "middle_name": "R",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-06",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "181676",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AK",
            "license": "181676",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AK",
            "license": "181676",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AK",
            "license": "33861",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AK",
            "license": "NURR33861",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cannon AFB, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; 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.