Tara Canniff

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

435 4TH St
Troy, NY 12180-5324

Phone

(518) 271-6777

NPI assigned

Feb 6, 2024

Last updated

Feb 6, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Tara Campbell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Unity House of Troy, Inc.

  • Early Intervention Provider Agency
  • Troy, NY
  • NPI 1740433911
  NPD (past)

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

{
    "created_epoch": "1707177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1851154306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 4TH ST",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121805324",
            "telephone_number": "518-271-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 4TH ST",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121805324",
            "telephone_number": "518-271-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNIFF",
        "first_name": "TARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-06",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "CAMPBELL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dorinda L. Campano, P.T.
• Jacqueline Camuglia, FNP
• Michelle Carolina Canas
• Nanette Anne Cance, FNP
• Kathleen M Canfield, LMSW
• Leigh M Cannucciari, LMSW
• Capital Area Hudson Valley New York Dental PC (1st Advantage Dental - Troy)
• Capital District Beginnings, Inc.
• Capital District Podiatry, PLLC
• Capital District Surgical Associates, P.L.L.C.

• Specialist in Troy, NY
• Providers in Troy, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.