Individual provider Active NPI

Sarah Jacquoline Cannon, APRN

  • Family Nurse Practitioner
  • Tarpon Springs, FL
National Provider Identifier
1003321209
Registry record updated Jul 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9229514 Issued in FL
Practice address
2365 N Highland Ave
Tarpon Springs, FL 34688-8958
Phone
(727) 458-2209
Fax
(423) 264-3688
NPI assigned
Dec 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9229514 FL Primary

Addresses

Primary practice location

2365 N Highland Ave
Tarpon Springs, FL 34688-8958

Mailing address

14690 Spring Hill Dr Ste 305
Spring Hill, FL 34609-8102
Phone (352) 277-5348

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20180523002673 FL Practitioner - Nurse Practitioner 1254696131 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9229514FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Best Value Healthcare LLC CurrentSince Jan 24, 2022 Accepting new patients
Florida Hospital Physician Group Inc Family CurrentSince May 14, 2018 Accepting new patients
Best Value Healthcare LLC PastSince Jun 22, 2021 Accepting new patients

Locations

1477 Main St
Dunedin, FL 34698
Phone (727) 733-3176

3800 E Bay Dr
Largo, FL 33771
Phone (727) 539-0505

525 Pine Island Rd
Ste A
North Fort Myers, FL 33903
Phone (239) 984-2399

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

6101 Webb Rd
Ste 104
Tampa, FL 33615
Phone (813) 290-0422

1395 S Pinellas Ave
Tarpon Springs, FL 34689
Phone (727) 942-5000

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1512864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722124800000",
    "number": "1003321209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14690 SPRING HILL DR STE 305",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346098102",
            "telephone_number": "352-277-5348",
            "fax_number": "352-606-2857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2365 N HIGHLAND AVE",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346888958",
            "telephone_number": "727-458-2209",
            "fax_number": "423-264-3688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNON",
        "first_name": "SARAH",
        "middle_name": "JACQUOLINE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-10",
        "last_updated": "2024-07-28",
        "certification_date": "2024-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9229514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarpon Springs, FL

Sources for this page

Verify at the official NPI Registry.