Active NPI
Canicia Anyiatem, CRNP-PMH
- Psychiatric/Mental Health Nurse Practitioner
- Hyattsville, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- R216688
- Practice address
- 7707 Swan Ter
Hyattsville, MD 20785-4680 - Phone
- (202) 545-0935
- NPI assigned
- Apr 10, 2012
- Last updated
- Apr 20, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R216688 | MD | Primary |
| Home Health Aide | 374U00000X | NU |
Addresses
Primary practice location
7707 Swan Ter
Hyattsville, MD 20785-4680
Mailing address
7707 Swan Ter
Hyattsville, MD 20785-4680
Phone (301) 336-3076
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3525 Ellicott Mills Dr
Suite G
Ellicott City, MD 21043-4638
Phone (410) 988-8092
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R216688 | MD | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Canrina Nurturing Minds Behavioral Health Care LLC | Current | Accepting new patients | |
| Psychiatry Specialities Clinics, LLC | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
3525 Ellicott Mills Dr
Ellicott City, MD 21043
Phone (443) 618-8947
3525 Ellicott Mills Dr
Ste G
Ellicott City, MD 21043
Phone (301) 778-4431
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Hyattsville, MD
- NPI 1134837735
DC
-
- Addiction Psychiatry Physician
- Ellicott City, MD
- NPI 1851864037
Psychiatric/Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587340800000",
"number": "1932465382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7707 SWAN TER",
"city": "HYATTSVILLE",
"state": "MD",
"postal_code": "207854680",
"telephone_number": "301-336-3076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7707 SWAN TER",
"city": "HYATTSVILLE",
"state": "MD",
"postal_code": "207854680",
"telephone_number": "202-545-0935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANYIATEM",
"first_name": "CANICIA",
"credential": "CRNP-PMH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-10",
"last_updated": "2020-04-20",
"certification_date": "2020-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MD",
"license": "R216688",
"primary": true
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hyattsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.