Izegbea M. Cannon

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3009546 Issued in KY

Practice address

2215 Portland Ave
Louisville, KY 40212-1033

Phone

(502) 774-8631

Fax

(502) 772-8189

NPI assigned

Oct 29, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University of Louisville Physicians Inc 1,438 clinicians

Baptist Health Medical Group Inc 2,431 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

78.96 of 100Reported as group

Quality

56.12

Promoting interoperability

100

Improvement activities

40

Cost

73.73

Merit-based Incentive Payment System (MIPS)

Final score

94.29 of 100Reported as apm

Quality

87.32

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: icannon13589@uoflhealth-dm.org

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.

• University of Louisville Physicians, Inc.

  • Internal Medicine Physician
  • Louisville, KY
  • NPI 1366722316

  KY

  Medicare reassignment Care Compare group NPD
• Baptist Health Medical Group Inc

  • Rural Health Clinic/Center
  • Dawson Springs, KY
  • NPI 1982178216

  KY

  Medicare reassignment NPD
• M&M Medical Clinics LLC

  • Internal Medicine Physician
  • Masonic Home, KY
  • NPI 1467960492

  Family, KY

  Medicare reassignment NPD
• University of Louisville Physicians, Inc.

  • Diagnostic Radiology Physician
  • Louisville, KY
  • NPI 1316294127
  Care Compare group NPD
• University of Louisville Physicians, Inc

  • Otolaryngology Physician
  • Louisville, KY
  • NPI 1326318973
  Care Compare group
• University of Louisville Physicians, Inc.

  • Physiological Laboratory
  • Louisville, KY
  • NPI 1356021059
  Care Compare group
• University of Louisville Physicians, Inc.

  • Endocrinology, Diabetes & Metabolism Physician
  • Louisville, KY
  • NPI 1467727578
  Care Compare group
• Baptist Health Medical Group Inc

  • Rural Health Clinic/Center
  • Richmond, KY
  • NPI 1558916890
  NPD
• University of Louisville Physicians

  • Pediatric Nephrology Physician
  • Louisville, KY
  • NPI 1255697983
  NPD
• University of Louisville Physicians, Inc.

  • Urology Physician
  • Louisville, KY
  • NPI 1619242757
  NPD (past)
• Physicians Medical Center LLC

  • Surgery Physician
  • New Albany, IN
  • NPI 1821425711

  Family

  NPD (past)

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

{
    "created_epoch": "1446076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446076800000",
    "number": "1013389022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 PORTLAND AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402121033",
            "telephone_number": "502-774-8631",
            "fax_number": "502-772-8189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 PORTLAND AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402121033",
            "telephone_number": "502-774-8631",
            "fax_number": "502-772-8189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNON",
        "first_name": "IZEGBEA",
        "middle_name": "M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-29",
        "last_updated": "2015-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3009546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Cann, PHARMD, MBA
• Jamie L Cannady, NP
• Michelle Canning, OTR
• Ashlee Cannon, PA-C
• Franklin Pierce Cannon III, DC
• Haydee Nilda Canovas, ARNP
• Cynthia W Canter, NP
• Laura Beth Canterbury
• Valleri Quinn Canterbury, OTR/L
• Divya B Cantor, MD

• All providers in Louisville, KY
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.