Active NPI
Erin Joann Canada-West, LMT
- Massage Therapist
- Ada, OK
National Provider Identifier
1831875046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 107502
- Practice address
- 630 E 14TH St
Ada, OK 74820-6617 - Phone
- (405) 269-9360
- NPI assigned
- Jun 22, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 107502 | OK | Primary |
Addresses
Primary practice location
630 E 14TH St
Ada, OK 74820-6617
Mailing address
630 E 14TH St
Ada, OK 74820-6617
Phone (405) 269-9360
Other names 1
- Erin Joann Canada
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
| License | State | Type | Specialty |
|---|---|---|---|
| 107502 | OK | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687392000000",
"number": "1831875046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 E 14TH ST",
"city": "ADA",
"state": "OK",
"postal_code": "748206617",
"telephone_number": "405-269-9360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 E 14TH ST",
"city": "ADA",
"state": "OK",
"postal_code": "748206617",
"telephone_number": "405-269-9360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANADA-WEST",
"first_name": "ERIN",
"middle_name": "JOANN",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-22",
"last_updated": "2023-06-22",
"certification_date": "2023-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OK",
"license": "107502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ERIN",
"last_name": "CANADA",
"middle_name": "JOANN",
"credential": "LMT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Ada, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.