Collaborative Medicine LLC
Collaborative Medicine LLC is a healthcare organization registered as Family Nurse Practitioner in Canton, CT, holding Type 2 (organization) NPI 1063137511 since 2022. The authorized official on file is Jennifer Cannon, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1063137511 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Collaborative Medicine LLC |
| Practice address | 166 ALBANY TPKE STE 7, Canton, CT, 06019 |
| Phone | 8609356680 |
| Fax | 8603593701 |
| Enumeration date | 2022-10-06 |
| Last updated in NPPES | 2025-05-22 |
Authorized official
| Name | Jennifer Cannon |
|---|---|
| Title | Owner |
| Phone | 8609356680 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 363LF0000X | Family Nurse Practitioner | Primary | — | — |
Copy-ready billing details
Provider: Collaborative Medicine LLC NPI: 1063137511 Taxonomy: 363LF0000X (Family Nurse Practitioner) Address: 166 ALBANY TPKE STE 7, Canton, CT, 06019
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1528461647 | Jennifer Cannon | Individual | Family Nurse Practitioner | Canton, CT |
Verify this record
Cross-check NPI 1063137511 against the authoritative CMS record: view Collaborative Medicine LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Collaborative Medicine LLC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-05-22.