Kelly Marie Canatella, MSN, APRN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R207603 Issued in MD

Practice address

7600 Osler Dr Ste 305
Towson, MD 21204-7702

Phone

(410) 433-4300

NPI assigned

Mar 19, 2020

Last updated

Mar 19, 2020By 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

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hyperheal Hyperbarics, Inc.Group PAC ID 8224286828, 12 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

43.34 of 100Reported as group

Quality

0

Promoting interoperability

94

Improvement activities

0

Cost

49.47

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kelly.canatella.1@21037.direct.athenahealth.com

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.

• Hyperheal Hyperbarics Inc

  dba MVS Woundcare & Hyperbarics Inc.

  • Medical Specialty Clinic/Center
  • Cockeysville, MD
  • NPI 1174886642

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Podiatry Associates, P.a.

  • Primary Podiatric Medicine Podiatrist
  • Bel Air, MD
  • NPI 1487879938

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1584576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1942836192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1741 GLENCOE RD",
            "city": "SPARKS GLENCOE",
            "state": "MD",
            "postal_code": "211529344",
            "telephone_number": "443-414-9468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 OSLER DR STE 305",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047702",
            "telephone_number": "410-433-4300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1741 Glencoe Rd",
            "address_purpose": "LOCATION",
            "city": "Sparks Glencoe",
            "state": "MD",
            "postal_code": "211529344",
            "country_code": "US",
            "telephone_number": "443-414-9468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANATELLA",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-19",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R207603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica R Campbell
• Krystal Campbell
• Timothy Douglas Campbell, MD
• Jeffrey Campodonico, PH.D.
• Janine Canaday, LGPC
• Sofia Candel
• Candoal Healthcare Solutions
• Cheryl Cannon, LCSW-C
• Kelsey Cannon
• Ryan Cannon

• Family Nurse Practitioner in Towson, MD
• Providers in Towson, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.

Verify at the official NPI Registry.