RYAN CANNICI


Address: 200 Medical Park Dr, Ste 550, Concord, NC 28025-2982
Phone: 7044031307

RYAN CANNICI (NPI# 1477198091) 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) 1477198091
Entity Type Individual
Full Name RYAN CANNICI
Credential NP
Practice Address 200 Medical Park Dr
Ste 550
Concord
NC 28025-2982
Mailing Address Po Box 19305
Charlotte
NC 28219-9305
Practice Telephone 7044031307
Enumeration Date 2019-11-07
Last Update Date 2020-09-25
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 5012523 NC Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 200 MEDICAL PARK DR
STE 550
City CONCORD
State NC
Zip Code 28025-2982

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346245040 Myron Roddenberry Physician Assistant 200 Medical Park Dr, Suite 230, Concord, NC 28025-2982 2005-06-17
1679183776 Carolinas Physicians Network Inc Orthopaedic Surgery 200 Medical Park Dr, Ste 500, Concord, NC 28025-2982 2020-08-04
1518577832 Leah Mccain Nurse Practitioner 200 Medical Park Dr, Ste 230, Concord, NC 28025-2982 2020-08-01
1881159341 Jessica Surane Physician Assistant 200 Medical Park Dr, Ste 230, Concord, NC 28025-2982 2019-02-08
1740756253 Samantha Mason Nurse Practitioner 200 Medical Park Dr, Ste 550, Concord, NC 28025-2982 2018-10-23
1700361466 Montana Poe Nurse Practitioner 200 Medical Park Dr, Ste 550, Concord, NC 28025-2982 2018-09-28
1932695574 Stephanie White Nurse Practitioner 200 Medical Park Dr, Ste 430, Concord, NC 28025-2982 2018-07-06
1487185534 Mukunda Singh Internal Medicine 200 Medical Park Dr, Ste 550, Concord, NC 28025-2982 2017-03-21
1497207641 Jessica Marchal Physician Assistant 200 Medical Park Dr, Ste 230, Concord, NC 28025-2982 2016-11-03
1619423712 Brian Yorke Physician Assistant 200 Medical Park Dr, Ste 230, Concord, NC 28025-2982 2016-08-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053910729 Renewed Mindset Therapeutic Services, Pllc Social Worker 349 Copperfield Blvd Suite L #334, Concord, NC 28025 2020-10-22
1194284380 Carolinas Physicians Network Inc Internal Medicine 610 Alfred Brown Jr. Court, Concord, NC 28025 2019-03-18
1164913596 Damarius Raymond Faggart Counselor 503 Amhurst Drive, Concord, NC 28025 2018-05-22
1437677085 Kathryn Emily Kanauer Counselor 280 Executive Park Dr Ne, Concord, NC 28025 2017-09-05
1649794439 Foster Health & Homecare, LLC Home Health 363 Church Street North, Suite 260-i, Concord, NC 28025 2017-08-02
1326569336 Jessie Leigh Tilley-compton Social Worker 371 Amhurst St Sw, Concord, NC 28025 2017-06-29
1609305663 Sarah Katherine Thompson Licensed Practical Nurse 248 Executive Park Dr, Concord, NC 28025 2017-06-05
1023463098 Kiera Brown Social Worker 219 Lephillip Court, Concord, NC 28025 2016-04-27
1992169445 Brittiny N. Ingram Vanterpool Counselor 250 Branchview Dr Sw, Concord, NC 28025 2016-04-11
1215399852 The Charlotte-mecklenburg Hospital Authority Clinic/Center 840 Warren C. Coleman Blvd, Concord, NC 28025 2016-03-23
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891355970 Taquita Shanee Milner Nurse Practitioner 3116 Dylan Pl Nw, Concord, NC 28027-0769 2019-06-19
1083182992 Katie Weatherman Tucker Nurse Practitioner 1085 Ne Gateway Ct Ne Ste 180, Concord, NC 28025-2407 2018-11-08
1174938799 Altegra Health Connections, LLC Nurse Practitioner 9 Capitol St, Concord, NH 03301-6310 2014-06-23
1548514888 Sarah Adler-mcdonald Nurse Practitioner 2000 Sierra Rd., Concord, CA 94518 2012-11-08
1982990560 Rashida Petrovich Nurse Practitioner 2222 East St # 305, Concord, CA 94520-2066 2011-06-22
1386774545 Deborah Ann Sampson Nurse Practitioner 60 Commerce St Suite 302, Concord Hospital Occupational Health, Concord, NH 03301-0000 2007-03-06
1164569307 Bridget Mary Canty Nurse Practitioner 5299 Laurel Dr, Concord, CA 94521-1529 2007-01-30
1679610844 Debra Lynn Knuckles Nurse Practitioner 855 Bradley St, Ste. A, Concord, NC 28025-2979 2007-01-30
1043375090 Kimberly A Capello Nurse Practitioner 59 Old Road To 9 Acre Cor, Ste 1, Concord, MA 01742-3317 2006-12-27
1346253978 My Linh Thi Waldrop Nurse Practitioner 9614 Camden Town Dr Nw, Concord, NC 28027-3332 2006-08-14
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Competitor

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City CONCORD
Zip Code 28025

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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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