Kathy Sue Canny, RD, CD, CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

700 NE 87TH Ave
Vancouver, WA 98664

Phone

(360) 882-2778

Fax

(360) 604-1785

NPI assigned

Feb 6, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Elk Grove Cardiology Associates

  • Cardiovascular Disease Physician
  • Elk Grove Village, IL
  • NPI 1144229501
  NPD (past)

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533168000000",
    "number": "1801868518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 NE 87TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986644896",
            "telephone_number": "360-882-2778",
            "fax_number": "360-604-1785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 NE 87TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98664",
            "telephone_number": "360-882-2778",
            "fax_number": "360-604-1785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNY",
        "first_name": "KATHY",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "RD, CD, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-06",
        "last_updated": "2018-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADA",
            "identifier": "525195",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPQA CREDENTIAL",
            "identifier": "DI00000612",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Albert B Canepa III, DDS
• Kristi Lynn Canning-Lee, MS, LMHCA, LPC
• Brandy L Cannon, PA-C
• Breanne Cannon, PA-C
• Jessica Cannon
• Corie Canova, SUDP
• Judith Ann Canter, LCSW
• Megan Canton, MSW
• Levi Cantrell
• Melissa Cantwell

• Registered Dietitian in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Registered Dietitian in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2018; 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.