Stephanie Michelle Cannon

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

1-077728 Issued in AL

Practice address

1700 6TH Ave S
Birmingham, AL 35233-1802

Phone

(205) 934-5612

Fax

(205) 975-9858

NPI assigned

Apr 14, 2021

Last updated

Jun 30, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AL

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, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University of Alabama Health Services Foundation, PCGroup PAC ID 1951213107, 2,784 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of Alabama Hospital Hospital, Birmingham, AL, CCN 010033

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• University of Alabama Health Services Foundation, PC.

  • Multi-Specialty Clinic/Center
  • Birmingham, AL
  • NPI 1093768723

  Single Specialty

  Medicare reassignment Care Compare group NPD
• University of Alabama at Birmingham

  • General Acute Care Hospital
  • Birmingham, AL
  • NPI 1447145818
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• University of Alabama at Birmingham

  • General Acute Care Hospital
  • Birmingham, AL
  • NPI 1154435824
  Care Compare affiliation
• University of Alabama at Birmingham

  • General Acute Care Hospital
  • Birmingham, AL
  • NPI 1447145818
  Care Compare affiliation

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

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1083295810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6254 SWANN RD",
            "city": "MOUNT OLIVE",
            "state": "AL",
            "postal_code": "351173606",
            "telephone_number": "205-873-4457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 6TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331802",
            "telephone_number": "205-934-5612",
            "fax_number": "205-975-9858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3686 Grandview Pkwy",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352433407",
            "country_code": "US",
            "telephone_number": "205-934-7330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "960 Mount Olive Rd",
            "address_purpose": "LOCATION",
            "city": "Gardendale",
            "state": "AL",
            "postal_code": "350714741",
            "country_code": "US",
            "telephone_number": "205-934-2171",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "631 Bessemer Super Hwy",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352283013",
            "country_code": "US",
            "telephone_number": "205-715-6159",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 West Blvd",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352061300",
            "country_code": "US",
            "telephone_number": "205-510-3406",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Oneonta",
            "state": "AL",
            "postal_code": "351212533",
            "country_code": "US",
            "telephone_number": "205-274-6343",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 6th Ave S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352331602",
            "country_code": "US",
            "telephone_number": "205-934-7330",
            "fax_number": "205-975-6391",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 4th Ave S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352331511",
            "country_code": "US",
            "telephone_number": "205-930-1093",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 22nd St S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352333110",
            "country_code": "US",
            "telephone_number": "205-975-6105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANNON",
        "first_name": "STEPHANIE",
        "middle_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-14",
        "last_updated": "2023-06-30",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AL",
            "license": "1-077728",
            "primary": true
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "AL",
            "license": "1-077728",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ssamya@direct.uabmedicine.org",
            "affiliation": "Y",
            "affiliationName": "University of Alabama Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "500 22nd St S",
            "city": "Birmingham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352333110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sofia Mabel Canete Portillo
• Sterling Cannady
• Leon Cannizzaro III, MD
• Jaime Bres Cannon, CRNP
• Robert Martyn Cannon, MD
• Steven Jason Cannon, CRNA
• Cheri L Canon, MD
• Emily Canonaco, OTR/L, CHT
• Margaret Fesmire Canter, PHD
• James E Cantrell Jr., M.D.

• Women's Health Nurse Practitioner in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Women's Health Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; 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.