Brittany L Cannon, APN
Individual provider Active NPI Family Nurse Practitioner · Sale Creek, TN
NPI 1003285305 · NPPES record last updated Jan 24, 2024
Key facts
- NPI
- 1003285305
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 20250 (TN)
- Practice address
- 108 Griffith St
Sale Creek, TN 37373-9715 - Phone
- (423) 332-1813
- Fax
- (423) 648-7542
- NPI assigned
- Sep 17, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151012000088 | TN | Practitioner - Nurse Practitioner | 1052620143 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sale Creek Family Practice, PLLC | Current |
Accepting new patients | |
| Diagnostic Radiology Consultants PA | Current |
Accepting new patients | |
| Daniel T Black | Past |
Accepting new patients |
Locations
1604 Gunbarrel Rd
Chattanooga, TN 37421
Phone (423) 648-2395
2525 Desales Ave
Chattanooga, TN 37404
Phone (423) 495-2620
975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499
620 E 11th St
Chattanooga, TN 37403
Phone (423) 481-9760
6031 Shallowford Rd
Ste 117
Chattanooga, TN 37421
Phone (423) 495-9581
108 Griffith St
Sale Creek, TN 37373
Phone (423) 332-1813
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 20250 | TN | |
| Family Nurse Practitioner | 363LF0000X | 20250 | TN | Yes |
Addresses
Primary practice location
108 Griffith St
Sale Creek, TN 37373-9715
Mailing address
108 Griffith St
Sale Creek, TN 37373-9715
Phone (423) 498-3570
Other practice location 1
2108 E 3rd St
Suite 300
Chattanooga, TN 37404-2600
Phone (423) 624-5200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20250 | Other | TN | APN LICENSE |
Other names
- Brittany L Pryor
Other providers in Sale Creek, TN
- Agilitas USA, Inc
- Daniel T Black
- Christa M Byerley
- Michael Caraccio
- Julie Elizabeth Carr
- Rachel Clark
- Daniel T Black
- First Care Family Clinic LLC
All providers in Sale Creek, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.