Cannon Wellness Collective PLLC

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

CANNON WELLNESS COLLECTIVE PLLC

Practice address

1760 Abbey Rd Ste 200
East Lansing, MI 48823-7302

Phone

(517) 215-5217

NPI assigned

Aug 1, 2025

Organization subpart

No

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

Authorized official

Name

Nedra Y CannonNPI 1487746012

Title

Owner

Phone

(517) 918-9386

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nedra Yvonne Cannon, MSW

  • Social Worker
  • Dearborn, MI
  • NPI 1487746012
  NPD Authorized official

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

{
    "created_epoch": "1754006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754006400000",
    "number": "1023992120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 ABBEY RD STE 200",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488237302",
            "telephone_number": "517-215-5217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 ABBEY RD STE 200",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488237302",
            "telephone_number": "517-215-5217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANNON WELLNESS COLLECTIVE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-01",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "NEDRA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-918-9386"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Cam, DO
• Keith Albert Camann, M.D.
• Rachel Cameron, MD
• Campbell Therapy Services PLLC
• Marlie Patel Campbell, DO
• Ebony Cannon
• Octavia Manetta Cannon, D.O.
• Zana Cannon
• Ashlea Catherine Cantu
• Cristina Capitanio

• Social Worker in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.