Active NPI
Carrie Cannon
- Psychiatric/Mental Health Nurse Practitioner
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP8850
- Practice address
- 50 E Croydon Park Rd
Tucson, AZ 85704-5792 - Phone
- (520) 696-3438
- Fax
- (520) 888-2347
- NPI assigned
- Jul 26, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | TAP8850 | AZ | |
| Family Nurse Practitioner | 363LF0000X | AP8850 | AZ | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP8850 | AZ | Primary |
Addresses
Primary practice location
50 E Croydon Park Rd
Tucson, AZ 85704-5792
Mailing address
6700 E Speedway, #123
1620 S Placita Churella, Tucson, Az 85748
Tucson, AZ 85710-0000
Phone (520) 820-9282
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1620 S Placita Churella
Tucson, AZ 85748-7714
Phone (520) 800-9282
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.27 of 100
- Quality
- 97.17
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 84.55
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TAP8850 | AZ | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cannon Health | Family | Current | Accepting new patients |
| Thrive Counseling LLC | Current | Accepting new patients | |
| Dr. Gann'S Diet of Hope LLC | Current | Accepting new patients | |
| Wellbeing Institute Inc | Past | Accepting new patients | |
| Velo Med Urgent Care PC | Past | Accepting new patients | |
| Wellbeing Institute Inc | Past | Accepting new patients |
Locations
809 W Riordan Rd
Ste 202
Flagstaff, AZ 86001
4801 S Lakeshore Dr
Ste 207
Tempe, AZ 85282
Phone (623) 323-8962
333 E Wetmore Rd
Ste 137
Tucson, AZ 85705
Phone (602) 357-9986
6700 E Speedway Blvd
Tucson, AZ 85710
Phone (520) 448-9005
50 E Croydon Park Rd
Tucson, AZ 85704
Phone (520) 298-9887
2096 N Kolb Rd
Ste 107
Tucson, AZ 85715
Phone (520) 332-2494
1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263
Organizations & group practices 6
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.
-
- Family Nurse Practitioner
- Tucson, AZ
- NPI 1609612100
-
- Internal Medicine Physician
- Tucson, AZ
- NPI 1780943696
-
- Clinic/Center
- Tucson, AZ
- NPI 1295932416
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Tucson, AZ
- NPI 1568536118
-
- Psychiatry Physician
- Tucson, AZ
- NPI 1730430182
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740960000000",
"number": "1063965077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6700 E SPEEDWAY, #123",
"address_2": "1620 S PLACITA CHURELLA, TUCSON, AZ 85748",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857100000",
"telephone_number": "520-820-9282",
"fax_number": "866-403-5117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 E CROYDON PARK RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857045792",
"telephone_number": "520-696-3438",
"fax_number": "520-888-2347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANNON",
"first_name": "CARRIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-26",
"last_updated": "2025-03-03",
"certification_date": "2025-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AZ",
"license": "TAP8850",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP8850",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AZ",
"license": "AP8850",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; 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.