Individual provider Active NPI

Christine Mae Smith Cannon, CRNP

  • Family Nurse Practitioner
  • Salisbury, MD
National Provider Identifier
1881825248
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AC000697 Issued in MD
Practice address
351 Deers Head Hospital Rd
Salisbury, MD 21801-3201
Phone
(410) 543-4000
Fax
(410) 543-4140
NPI assigned
Aug 4, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AC000697 MD Primary

Addresses

Primary practice location

351 Deers Head Hospital Rd
Salisbury, MD 21801-3201

Mailing address

351 Deers Head Hospital Rd
Salisbury, MD 21801-3201
Phone (410) 543-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250429004076 MD Practitioner - Nurse Practitioner 2567802234 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AC000697MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Comptroller of Maryland Central Payroll Bureau CurrentSince Apr 24, 2025 Accepting new patients
State of Maryland Central Payroll Bureau CurrentSince Apr 24, 2025 Accepting new patients
Comptroller of Maryland Central Payroll Bureau Current Accepting new patients
Comptroller of Maryland Central Payroll Bureau Past Accepting new patients

Locations

300 W Preston St
Ste 402
Baltimore, MD 21201
Phone (410) 767-2940

5262 Woods Rd
Cambridge, MD 21613
Phone (410) 221-2300

351 Deers Head Hospital Rd
Salisbury, MD 21801
Phone (410) 543-4000

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1249344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1881825248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 DEERS HEAD HOSPITAL RD",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218013201",
            "telephone_number": "410-543-4000",
            "fax_number": "410-543-4140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 DEERS HEAD HOSPITAL RD",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218013201",
            "telephone_number": "410-543-4000",
            "fax_number": "410-543-4140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH CANNON",
        "first_name": "CHRISTINE",
        "middle_name": "MAE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-04",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "AC000697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.