Active NPI
Lynnette Giles Canady, ARNP
- Adult Health Nurse Practitioner
- Oldsmar, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 1700502
- Practice address
- 601 Brooker Creek Blvd
Oldsmar, FL 34677-2962 - Phone
- (813) 818-3200
- NPI assigned
- Jan 5, 2007
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 1700502 | FL | Primary |
Addresses
Primary practice location
601 Brooker Creek Blvd
Oldsmar, FL 34677-2962
Mailing address
12470 Telecom Dr Ste 300W
Temple Terrace, FL 33637-0904
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250625003082 | FL | Practitioner - Nurse Practitioner | 5890919393 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1700502 | FL | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Shepherd Hospice, Inc. | Current | Accepting new patients | |
| Good Shepherd Hospice, Inc. | Current | Accepting new patients | |
| Chapters Health Palliative Care, LLC | Current | Accepting new patients |
Locations
450 Arneson Ave
Auburndale, FL 33823
Phone (863) 297-1880
3470 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 682-0027
12470 Telecom Dr
Ste 300
Temple Terrace, FL 33637
Phone (813) 871-8111
12470 Telecom Dr
Ste 300W
Temple Terrace, FL 33637
Phone (813) 871-8183
12470 Telecom Dr
Ste 301
Temple Terrace, FL 33637
Phone (423) 707-8678
2144 Welbilt Blvd
Trinity, FL 34655
Phone (727) 376-3658
Organizations & group practices 3
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.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Temple Terrace, FL
- NPI 1073683553
FL
-
- Community Based Hospice Care Agency
- Marathon, FL
- NPI 1720691017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578441600000",
"number": "1881741387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12470 TELECOM DR STE 300W",
"city": "TEMPLE TERRACE",
"state": "FL",
"postal_code": "336370904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 BROOKER CREEK BLVD",
"city": "OLDSMAR",
"state": "FL",
"postal_code": "346772962",
"telephone_number": "813-818-3200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANADY",
"first_name": "LYNNETTE",
"middle_name": "GILES",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-05",
"last_updated": "2020-01-08",
"certification_date": "2020-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "1700502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oldsmar, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.