Lois E Cannon, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

1025194 Issued in MN

Practice address

1665 Utica Ave S
Saint Louis Park, MN 55416-3474

Phone

(952) 541-2500

NPI assigned

Feb 21, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1093780397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8170 33RD AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554254516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 UTICA AVE S",
            "city": "SAINT LOUIS PARK",
            "state": "MN",
            "postal_code": "554163474",
            "telephone_number": "952-541-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNON",
        "first_name": "LOIS",
        "middle_name": "E",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-21",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MN",
            "license": "1025194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "843325900",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda J Calvin, MD
• Ian-Thomas Campbell-Groen, DPT
• Carol J Campbell, CRNA
• Karen Louise Campbell, PHD
• Naomi Jean Campbell
• Bruce E. Cantor, M.D.
• J Niva Capecchi-Nguyen, MSW, LICSW
• Cacy Capel-Miranda, PHD, LP
• Katharine Marie Cappola, OTR
• Care Clinics LLC

• Advanced Practice Midwife in Saint Louis Park, MN
• Providers in Saint Louis Park, MN by specialty
• Advanced Practice Midwife in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.