Active NPI
Mary Esther Canava, NPC
- Family Nurse Practitioner
- Georgetown, TX
National Provider Identifier
1760411144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 524937
- Practice address
- 1231 Leander Rd
Georgetown, TX 78628-8707 - Phone
- (512) 819-0790
- Fax
- (512) 819-0799
- NPI assigned
- Jun 30, 2006
- Last updated
- Sep 9, 2015
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 524937 | TX | Primary |
Addresses
Primary practice location
1231 Leander Rd
Georgetown, TX 78628-8707
Mailing address
902 Crystal Falls Pkwy
Leander, TX 78641-3646
Phone (512) 259-2222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1717 N Ih
35 Suite 130
Round Rock, TX 78664-2901
Phone (512) 246-7127
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 524937 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CLP Regency of Texas, LLC | Family | Current | Accepting new patients |
| Certified Nurse Practitioners, PC | Family | Past | Accepting new patients |
| Domicilliary Service LLC | Past | Accepting new patients | |
| Diabetes & Endocrine Center of Central Texas PA | Past | Accepting new patients |
Locations
10 Cadillac Dr
Ste 400
Brentwood, TN 37027
Phone (615) 637-9163
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Hospice Compassus
- Hospice and Palliative Medicine (Family Medicine) Physician
- Round Rock, TX
- NPI 1679152656
-
- Family Nurse Practitioner
- Austin, TX
- NPI 1194901413
-
- Endocrinology, Diabetes & Metabolism Physician
- Waco, TX
- NPI 1760589782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441756800000",
"number": "1760411144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "902 CRYSTAL FALLS PKWY",
"city": "LEANDER",
"state": "TX",
"postal_code": "786413646",
"telephone_number": "512-259-2222",
"fax_number": "512-259-2290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1231 LEANDER RD",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786288707",
"telephone_number": "512-819-0790",
"fax_number": "512-819-0799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANAVA",
"first_name": "MARY",
"middle_name": "ESTHER",
"name_prefix": "Mrs.",
"credential": "NPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-30",
"last_updated": "2015-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "524937",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Georgetown, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.