KRISTEN LEEANN CANADY


Address: 610 Ocean Hwy W, Supply, NC 28462-4048
Phone: 9103566100

KRISTEN LEEANN CANADY (NPI# 1336780147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336780147
Entity Type Individual
Full Name KRISTEN LEEANN CANADY
Credential PA-C
Practice Address 610 Ocean Hwy W
Supply
NC 28462-4048
Mailing Address 5864 N Rhett Ave Apt 5b
Hanahan
SC 29410-2531
Practice Telephone 9103566100
Mailing Telephone 2525583232
Enumeration Date 2019-10-02
Last Update Date 2019-10-02
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
0010-09492 NC Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 610 OCEAN HWY W
City SUPPLY
State NC
Zip Code 28462-4048

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528249794 Atlantic Neurology and Sleep Medicine,pllc Psychiatry & Neurology 610 Ocean Hwy W, Ste B, Supply, NC 28462-4048 2007-11-16
1346704145 Coastal Spine Institute PC Specialist 610 Ocean Hwy W, Supply, NC 28462 2019-01-25
1811157613 Kevin Scott Cahill Neurological Surgery 610 Ocean Hwy W, Supply, NC 28462-4048 2008-06-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558910943 Lisa M Jock Technician 1276 Skipper Run Sw, Supply, NC 28462 2019-09-09
1023532686 Novant Health Brunswick Endoscopy Center, LLC Nurse Anesthetist, Certified Registered 13 Medical Campus Drive, Suite 101, Supply, NC 28462 2017-07-26
1821510579 Novant Health Brunswick Endoscopy Center, LLC Clinic/Center 13 Medical Campus Dr, Suite 101, Supply, NC 28462 2017-07-14
1831461920 Reginald Lofton Hewett Counselor 1473 Cedar Grove Rd, Supply, NC 28462 2012-02-03
1760793343 Coastal Hearing Centers, Inc Clinic/Center 2298 Ocean Hwy, Supply, NC 28462 2010-06-29
1083943567 Lorell Sneeden Pait Nurse Practitioner 795 Ocean Highway West, Supply, NC 28462 2009-12-14
1043451321 Well Care Home Care Home Health 118 Ocean Highway West, Supply, NC 28462 2009-03-16
1467672873 South Atlantic Radiation Oncology, LLC Clinic/Center 545 Ocean Highway West, Supply, NC 28462 2007-04-26
1225177702 Barbara C Bauer Counselor 1041 Old Ocean Highway, Supply, NC 28462 2007-02-05
1891852323 Liberty Medical Specialties, Inc Durable Medical Equipment & Medical Supplies 1120 Ocean Hwy West, Supply, NC 28462 2007-01-03
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740845148 Brenda Kay Dushek Physician Assistant 20 Medical Campus Dr Nw Ste 104, Supply, NC 28462-4094 2019-05-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1174170575 Katherine Mccullough Physician Assistant Duke University Medicine Center 2301 Erwin Rd, Durham, NC 27710-0001 2019-08-20
1851955579 Morgan Elizabeth Bridgers Physician Assistant 4051 Burnett Womack Dept of Surgery Cb 7050, Chapel Hill, NC 27599-1843 2019-04-29
1265947725 Molly Cunningham Pradhan Physician Assistant 2301 Erwin Road Dumc 2945, Durham, NC 27710-0001 2017-12-06
1497273700 Joseph Cameron Jones Physician Assistant 404 Westwood Ave Ste 303, High Point, NC 27262-4315 2017-09-07
1871011106 Tashianna Renee Stockton Physician Assistant 101 Manning Drive Cb #7600, Chapel Hill, NC 27599-0001 2017-09-07
1205365335 Joe Gates Physician Assistant 408 8th St Ste 1, North Wilkesboro, NC 28659-4167 2017-06-12
1023547585 Audrey Catherine Fortezzo Physician Assistant 581 Leroy George Dr Ste 300, Clyde, NC 28721-8085 2017-06-08
1184013294 Danielle King Physician Assistant 3611 N Duke Street, Durham, NC 27704 2015-01-13
1629474978 Gary Lee Aldrich Jr. Physician Assistant 103a Mcalpine Ln, Laurinburg, NC 28352-4637 2014-11-14
1255757936 Megan Lenore Mcnamara Physician Assistant 2504 Delaney Ave, Wilmington, NC 28403-6002 2014-03-05
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City SUPPLY
Zip Code 28462

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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