Bennette Canady

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

54710 Issued in OK

Practice address

1055 S Houston Ave
Tulsa, OK 74127-9043

Phone

(918) 921-3217

NPI assigned

Jun 15, 2015

Last updated

Jun 15, 2015By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434326400000",
    "number": "1891176970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 S HOUSTON AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741279043",
            "telephone_number": "918-921-3217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 S HOUSTON AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741279043",
            "telephone_number": "918-921-3217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANADY",
        "first_name": "BENNETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-15",
        "last_updated": "2015-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OK",
            "license": "54710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura C Campion, MD
• Eric Michael Canaday, D.O.
• Gus D Canaday Jr., ARNP
• Michael Terry Canaday, PHARMACIST
• Zachary Stanley Canaday, D.O.
• Mayra Gabriela Canales Sebastian, LCSW
• Jailene Suset Canales
• Mary Elizabeth Canders, MD
• Elizabeth C Canfield, CCC-SLP
• Ernest Lyle Canfield, CDT

• Licensed Practical Nurse in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Licensed Practical Nurse in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; 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.