Brittany L Cannon, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

20250 Issued in TN

Practice address

108 Griffith St
Sale Creek, TN 37373-9715

Phone

(423) 332-1813

Fax

(423) 648-7542

NPI assigned

Sep 17, 2015

Last updated

Jan 24, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Brittany L Pryor Former name

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Diagnostic Radiology Consultants PA

  • Diagnostic Radiology Physician
  • Chattanooga, TN
  • NPI 1427071430
  Medicare reassignment NPD
• Hamilton Physician Group Inc

  • Cardiovascular Disease Physician
  • Dalton, GA
  • NPI 1235455569

  TN

  Medicare reassignment
• Sale Creek Family Practice, PLLC

  • Family Medicine Physician
  • Sale Creek, TN
  • NPI 1225352164
  NPD
• Daniel T Black

  dba Sale Creek Family Practice

  • Family Medicine Physician
  • Sale Creek, TN
  • NPI 1245426188
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1003285305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 GRIFFITH ST",
            "city": "SALE CREEK",
            "state": "TN",
            "postal_code": "373739715",
            "telephone_number": "423-498-3570",
            "fax_number": "423-648-7542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 GRIFFITH ST",
            "city": "SALE CREEK",
            "state": "TN",
            "postal_code": "373739715",
            "telephone_number": "423-332-1813",
            "fax_number": "423-648-7542"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2108 E 3rd St",
            "address_2": "SUITE 300",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374042600",
            "country_code": "US",
            "telephone_number": "423-624-5200",
            "fax_number": "423-624-4440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANNON",
        "first_name": "BRITTANY",
        "middle_name": "L",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-17",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "20250",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "20250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTANY",
            "last_name": "PRYOR",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Agilitas USA, Inc (Results Physiotherapy)
• Daniel T Black, DO
• Christa M Byerley, FNP-C
• Michael Caraccio
• Julie Elizabeth Carr, F.N.P
• Rachel Clark, APRN
• Daniel T Black (Sale Creek Family Practice)
• First Care Family Clinic LLC

• Family Nurse Practitioner in Sale Creek, TN
• Providers in Sale Creek, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.