Carolyn Sue Canterbury, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2010033156 Issued in MO

Practice address

1225 Aguilar Dr
Montgomery City, MO 63361-2723

Phone

(573) 582-1234

Fax

(573) 582-1212

NPI assigned

Oct 20, 2010

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

Enrolled in MO

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: carol.canterbury.p1@direct.arthurcenter.nextgenshare.com

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.

• East Central Missouri Behavioral Health Services, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mexico, MO
  • NPI 1144293549

  MO

  Medicare reassignment Care Compare group NPD
• East Central Missouri Behavioral Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Montgomery City, MO
  • NPI 1376164699
  Care Compare group NPD
• East Central Missouri Behavioral Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Fulton, MO
  • NPI 1174008023
  Care Compare group
• East Central Missouri Behavioral Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Mexico, MO
  • NPI 1265853063
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• CH Allied Services, Inc

  • Cardiac Rehabilitation Clinic/Center
  • Columbia, MO
  • NPI 1548734734

  Hospital

  Care Compare affiliation
• CH Allied Services, Inc.

  • General Acute Care Hospital
  • Columbia, MO
  • NPI 1902817844

  Hospital

  Care Compare affiliation

Specialty

Nurse Practitioner

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

East Central Missouri Behavioral Health Services Inc 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Boone Hospital Center Hospital, Columbia, MO, CCN 260068

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1942510102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 KELLEY PKWY",
            "city": "MEXICO",
            "state": "MO",
            "postal_code": "652653811",
            "telephone_number": "573-582-1234",
            "fax_number": "573-582-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 AGUILAR DR",
            "city": "MONTGOMERY CITY",
            "state": "MO",
            "postal_code": "633612723",
            "telephone_number": "573-582-1234",
            "fax_number": "573-582-1212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "340 Kelley Pkwy",
            "address_purpose": "LOCATION",
            "city": "Mexico",
            "state": "MO",
            "postal_code": "652653811",
            "country_code": "US",
            "telephone_number": "573-582-1234 x3017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANTERBURY",
        "first_name": "CAROLYN",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-20",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2010033156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cary Leland Baney, DC
• Kristina Boylan, FNP
• Bristol Care, Inc.
• Charles Bukovac, DMD
• Michelle Marie Burski
• Tammi Carter
• Cary Baney
• Mike Cheng
• David Keith Cochran, D.O.
• County of Montgomery School Dist

• All providers in Montgomery City, MO
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; 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.

Verify at the official NPI Registry.