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CONNOR KASTL CANNIZZARO
NPI 1285321406
Student in an Organized Health Care Education/Training Program in Aurora, CO

Active since April 18, 2023PECOS Enrolled
12605 E 16TH AVE, AURORA, CO 80045(720) 848-0000 Get Directions Write a Review

NPPES record last updated: July 2, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Connor Kastl Cannizzaro NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONNOR KASTL CANNIZZARO (NPI 1285321406) is an individual student in an organized health care education/training program in Aurora, Colorado and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Syracuse.

NPPES Registry Identity

NPI1285321406
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCONNOR KASTL CANNIZZARO
Location Address12605 E 16TH AVEAurora, CO 80045-2545
Mailing Address2221 W Center AveDenver, CO 80223-2223 · (315) 329-1757
Phone(720) 848-0000
Sole ProprietorYes
Enumeration DateApril 18, 2023
Last NPPES UpdateJuly 2, 2024
NPPES CertifiedJuly 2, 2024
✔ NPI 1285321406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
12605 E 16TH AVE, Aurora, CO 80045
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Secondary Practice Location 1

Location 1750 E Adams StSyracuse, NY 13210-2306 · Phone (315) 464-5540

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Connor Kastl Cannizzaro is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

KEVIN BRADLEY ROTHCHILD MD
Surgery (Trauma Surgery)
12605 E 16TH AVE
AURORA, CO 80045
Adams County (303) 724-2728
DR. JONATHAN ORSBORN MD
Pediatrics (Pediatric Emergency Medicine)
12605 E 16TH AVE
AURORA, CO 80045
Adams County (720) 848-0000
ERIN SLOUN FIELDS PHARMD
Pharmacist
12605 E 16TH AVE
AURORA, CO 80045
Adams County (720) 848-4083
DR. JUAN PABLO IDROVO M.D.
Surgery (Surgical Critical Care)
12605 E 16TH AVE
AURORA, CO 80045
Adams County (303) 724-8366
STACEY M JOHNSON APRN
Nurse Practitioner (Adult Health)
12605 E 16TH AVE
AURORA, CO 80045
Adams County (720) 848-0000
ANDREA LYNNE HALL CRNA
Nurse Anesthetist, Certified Registered
12605 E 16TH AVE
AURORA, CO 80045
Adams County (720) 848-0000
KRISTI WHARTON SWIM FNP
Nurse Practitioner (Family)
12605 E 16TH AVE
AURORA, CO 80045
Adams County (720) 848-0000
LAURA TIERNEY YOST CRNA
Nurse Anesthetist, Certified Registered
12605 E 16TH AVE
AURORA, CO 80045
Adams County (720) 848-0000

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 Connor Cannizzaro's NPI number?

The NPI number for Connor Cannizzaro is 1285321406. It was assigned to this individual provider in the NPPES registry on April 18, 2023.

Where is Connor Cannizzaro located?

Connor Cannizzaro practices at 12605 E 16th Ave, Aurora, CO 80045. The listed phone number is (720) 848-0000.

What is Connor Cannizzaro's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Connor Cannizzaro enrolled in Medicare?

Yes. Connor Cannizzaro is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Connor Cannizzaro was last updated on July 2, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.