Susan Cannon, PT, DPT, MSED

Primary specialty

Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X

License

1100740 Issued in KS

Practice address

Center for Child Health and Development
3901 Rainbow Blvd., Mail Stop 4003
Kansas City, KS 66160-0001

Phone

(913) 588-5588

Fax

(913) 588-5916

NPI assigned

Jan 30, 2007

Last updated

Jul 15, 2014By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Ku Health Partners, Inc

  • Audiologist
  • Kansas City, KS
  • NPI 1043323736
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405382400000",
    "number": "1063559284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 411851",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641411851",
            "telephone_number": "913-492-1201",
            "fax_number": "913-588-5916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTER FOR CHILD HEALTH AND DEVELOPMENT",
            "address_2": "3901 RAINBOW BLVD., MAIL STOP 4003",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661600001",
            "telephone_number": "913-588-5588",
            "fax_number": "913-588-5916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNON",
        "first_name": "SUSAN",
        "name_prefix": "Miss",
        "credential": "PT, DPT, MSED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2014-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "KS",
            "license": "1100740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Ann Campion, PT
• Natalie Elise Canale
• Dominic Christian Cancino, MD
• Angela Candelario, LMSW
• Chad M. Cannon, MD
• Gloria Elva Cantu
• Alexander Capiaghi, PHD
• Hannah Caplan
• Jennifer Capra, DO
• Mykala Cora Caraccilo, DNP, FNP-C

• Developmental - Behavioral Pediatrics Physician in Kansas City, KS
• Providers in Kansas City, KS by specialty
• Developmental - Behavioral Pediatrics Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; 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.