Active NPI
Arienna Wren Canonico, APRN
- Pediatric Nurse Practitioner
- Saint Cloud, FL
National Provider Identifier
1841082575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 11039969
- Practice address
- 909 N Narcoossee Rd
Saint Cloud, FL 34771-8784 - Phone
- (407) 556-9898
- NPI assigned
- May 19, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Registered Nurse | 163WP0200X | 9470965 | FL | |
| Pediatric Nurse Practitioner | 363LP0200X | 11039969 | FL | Primary |
Addresses
Primary practice location
909 N Narcoossee Rd
Saint Cloud, FL 34771-8784
Mailing address
178 Riverwoods Dr
Chuluota, FL 32766-9203
Phone (407) 236-6520
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 |
|---|---|---|---|
| 9470965 | FL | MD | Pediatric Registered Nurse |
| 11039969 | FL | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Health Alliance, LLC | Past | Accepting new patients |
Interoperability endpoints
- acourtney77385@direct.nemours.org
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.
-
- Pediatrics Physician
- Orlando, FL
- NPI 1366709321
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749254400000",
"number": "1841082575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "178 RIVERWOODS DR",
"city": "CHULUOTA",
"state": "FL",
"postal_code": "327669203",
"telephone_number": "407-236-6520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 N NARCOOSSEE RD",
"city": "SAINT CLOUD",
"state": "FL",
"postal_code": "347718784",
"telephone_number": "407-556-9898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANONICO",
"first_name": "ARIENNA",
"middle_name": "WREN",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-19",
"last_updated": "2025-06-07",
"certification_date": "2025-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pediatrics",
"state": "FL",
"license": "9470965",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "FL",
"license": "11039969",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Cloud, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.