Alison L Cannon, CRNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

R135930 Issued in MD

Practice address

1021 Dulaney Valley Rd
Baltimore, MD 21204-2753

Phone

(410) 337-5023

NPI assigned

Feb 23, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1235347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1124268727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 FERGUSON AVE",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054015011",
            "telephone_number": "802-862-3478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 DULANEY VALLEY RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212042753",
            "telephone_number": "410-337-5023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44 Main St",
            "address_2": "Suite 44",
            "address_purpose": "LOCATION",
            "city": "Richford",
            "state": "VT",
            "postal_code": "054761153",
            "country_code": "US",
            "telephone_number": "802-255-5580",
            "fax_number": "802-255-5589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANNON",
        "first_name": "ALISON",
        "middle_name": "L",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-23",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VT",
            "license": "101-0030286",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R135930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mia Cann
• Cannakush Consulting Office LLC
• Cannakush Consulting Office LLC
• Tamira Cannie, FNP
• Alicia Cannon, PH.D.
• Cheryl Cannon, LCSW-C
• Julianne Katherine Cannon, PT, DPT
• Michael David Cannon, M.D.
• Shirina Cannon
• Elizabeth Cauldwell Cansler

• Adult Health Nurse Practitioner in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Adult Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; 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.