THERESA NICOLE CANAVAN
NPI 1225476542
Student in an Organized Health Care Education/Training Program in New York, NY
About Theresa Nicole Canavan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THERESA NICOLE CANAVAN (NPI 1225476542) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Theresa Nicole Canavan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW YORK, NY 10016
NEW YORK, NY 10016
NEW YORK, NY 10016
NEW YORK, NY 10016
NEW YORK, NY 10016
NEW YORK, NY 10016
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Theresa Canavan's NPI number?
The NPI number for Theresa Canavan is 1225476542. It was assigned to this individual provider in the NPPES registry on June 8, 2013.
Where is Theresa Canavan located?
Theresa Canavan practices at 550 1st Ave, New York, NY 10016. The listed phone number is (212) 263-5506.
What is Theresa Canavan's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Theresa Canavan enrolled in Medicare?
Yes. Theresa Canavan is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Theresa Canavan was last updated on June 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Theresa Nicole Canavan · NPI 1225476542
Student in an Organized Health Care Education/Training Program provider in New York, New York. Individual provider, active in the CMS NPPES registry since June 8, 2013.
## Identity
- **NPI:** 1225476542 (Entity type: Individual)
- **Enumerated:** June 8, 2013
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 550 1ST AVE, New York, NY 10016-6402
- **Phone:** (212) 263-5506
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** June 10, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1225476542) · Data from the CMS NPPES public registry.