Individual provider Active NPI

Susan Magaret Cannon, APRN-FNP

  • Family Nurse Practitioner
  • Laramie, WY
National Provider Identifier
1184057911
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1680 Issued in WY
Practice address
1000 E University Ave # 3068
Laramie, WY 82071-2000
Phone
(307) 766-2130
NPI assigned
Aug 15, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1680 WY Primary

Addresses

Primary practice location

1000 E University Ave # 3068
Laramie, WY 82071-2000

Mailing address

1000 E University Ave Dept 3068
Laramie, WY 82071-2001
Phone (307) 766-2130

Other names 1

  • Miss Susan Magaret Ronish Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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

Enrollment IDStateProvider typePAC IDDetails
I20180724002521 CO Practitioner - Nurse Practitioner 3375890288 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1680WYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pahs Onpoint Urgent Care LLC CurrentSince Oct 26, 2020 Accepting new patients
Pahs Onpoint Urgent Care LLC Current Accepting new patients
The Little Clinic of Colorado, LLC Family CurrentSince Jul 24, 2018 Accepting new patients
RFH Colorado, LLC PastSince Aug 18, 2024 Accepting new patients
University of Wyoming Student Health Service PastSince Apr 9, 2024 Accepting new patients
Uw Student Health Service Pharmacy PastSince Apr 9, 2024 Accepting new patients

Locations

24300 E Smoky Hill Rd
Unit 120
Aurora, CO 80016
Phone (303) 330-0410

12167 Sheridan Blvd
Broomfield, CO 80020
Phone (303) 439-0169

2100 35th Ave
Greeley, CO 80634
Phone (970) 339-1717

7984 W Alameda Ave
Lakewood, CO 80226
Phone (303) 459-7105

2620 Elm Hill Pike
Nashville, TN 37214
Phone (615) 425-4211

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.

NPI Registry JSON

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

{
    "created_epoch": "1376524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1184057911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E UNIVERSITY AVE DEPT 3068",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820712001",
            "telephone_number": "307-766-2130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E UNIVERSITY AVE # 3068",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820712000",
            "telephone_number": "307-766-2130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNON",
        "first_name": "SUSAN",
        "middle_name": "MAGARET",
        "name_prefix": "Mrs.",
        "credential": "APRN-FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-15",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "1680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "RONISH",
            "middle_name": "MAGARET",
            "prefix": "MISS",
            "credential": "APRN-FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Laramie, WY

Sources for this page

Verify at the official NPI Registry.