Denise Meacham-Cannon, CNIM, CRET, R.EP.T

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

License

CNIM994 Issued in TN

Practice address

2150 Town Square PL Ste 290
Sugar Land, TX 77479-1643

Phone

(281) 768-6730

Fax

(281) 768-6766

NPI assigned

Dec 11, 2009

Last updated

Sep 14, 2016By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Advanced Medical Resources LLC

  • Clinical Neurophysiology Physician
  • Plano, TX
  • NPI 1811263999

  Electroneurodiagnostic

  NPD (past)
• Longhorn Neurophysiology, P.a.

  • Clinical Neurophysiology Physician
  • Plano, TX
  • NPI 1811256928

  Electroneurodiagnostic

  NPD (past)

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

{
    "created_epoch": "1260489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473811200000",
    "number": "1184953614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 TOWN SQUARE PL STE 290",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774791643",
            "telephone_number": "281-768-6730",
            "fax_number": "281-768-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 TOWN SQUARE PL STE 290",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774791643",
            "telephone_number": "281-768-6730",
            "fax_number": "281-768-6766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEACHAM-CANNON",
        "first_name": "DENISE",
        "name_prefix": "Ms.",
        "credential": "CNIM, CRET, R.EP.T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-11",
        "last_updated": "2016-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "TN",
            "license": "CNIM994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott David McMenemy, M.D.
• Tammie Valtina McNeal-Ibikunle, FNP-C
• Timothy McNiel, CSFA
• Shannon Rene' McWhorter, CSFA, LSA
• MDS First Assistants, LLC
• Med Scripts Homecare Corporation
• Med-Source Healthcare Services, Inc
• Med-Source Homecare Services
• Medbridgeax Billing Services LLC
• Medcena Diagnostics

• Electroneurodiagnostic Specialist/Technologist in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Electroneurodiagnostic Specialist/Technologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; 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.