Kandice Shana Warren-Cannon, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

VN197412 Issued in CA

Practice address

1616 W Avenue L
Lancaster, CA 93534-6247

Phone

(877) 734-2244

NPI assigned

Jan 16, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kandice Shana Warren Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673827200000",
    "number": "1083329973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 W AVENUE L",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935346247",
            "telephone_number": "877-734-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 W AVENUE L",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935346247",
            "telephone_number": "877-734-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN-CANNON",
        "first_name": "KANDICE",
        "middle_name": "SHANA",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-16",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN197412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER LICENSE",
            "identifier": "B6702778",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "URL",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1616 W Avenue L",
            "city": "Lancaster",
            "state": "CA",
            "country_code": "US",
            "postal_code": "935346247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KANDICE",
            "last_name": "WARREN",
            "middle_name": "SHANA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kristine Yvonne Ward
• Raven Alannah Ward
• Teresa Ward
• Eric Daniel Warda
• Larry Louis Warmsley II
• Linda Adele Warren-Watson, MD
• Dana Wilfred Warren, RN
• Rosalyn Sheree Warren, LCSW
• Yanari Warren
• Brittany Washington

• Licensed Vocational Nurse in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; 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.