Active NPI
Natalia Rose Mainord-Cannon, FNP-C
- Family Nurse Practitioner
- Charleston, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2023024699
- Practice address
- 1403 E Marshall St
Charleston, MO 63834-1446 - Phone
- (573) 683-2327
- Fax
- (573) 683-2373
- NPI assigned
- Aug 3, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2023024699 | MO | Primary |
Addresses
Primary practice location
1403 E Marshall St
Charleston, MO 63834-1446
Mailing address
1008 N Main St
Sikeston, MO 63801-5044
Phone (573) 472-7423
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1102 Sikes Ave
Sikeston, MO 63801-5021
Hospital & facility affiliations
- Elara Caring
- Missouri Delta Medical Center
- Saint Francis Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Missouri Delta Medical Center | Current | Accepting new patients | |
| Missouri Delta Medical Center | Current | Accepting new patients | |
| Mississippi County Health Department | Past | Accepting new patients |
Locations
1403 E Marshall St
Charleston, MO 63834
Phone (573) 683-2327
1008 N Main St
Sikeston, MO 63801
Phone (573) 471-1600
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Sikeston, MO
- NPI 1508967860
-
- Rehabilitation Clinic/Center
- Sikeston, MO
- NPI 1720003551
-
- Community/Retail Pharmacy
- Malden, MO
- NPI 1578371621
-
- Public Health or Welfare Agency
- Charleston, MO
- NPI 1023210648
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sikeston, MO
- NPI 1831269539
-
- General Acute Care Hospital
- Cape Girardeau, MO
- NPI 1467412726
-
- Home Health Agency
- Dexter, MO
- NPI 1881641090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771891200000",
"number": "1194407635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1008 N MAIN ST",
"city": "SIKESTON",
"state": "MO",
"postal_code": "638015044",
"telephone_number": "573-472-7423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1403 E MARSHALL ST",
"city": "CHARLESTON",
"state": "MO",
"postal_code": "638341446",
"telephone_number": "573-683-2327",
"fax_number": "573-683-2373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAINORD-CANNON",
"first_name": "NATALIA",
"middle_name": "ROSE",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-03",
"last_updated": "2026-02-24",
"certification_date": "2026-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2023024699",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.