Rebeccah Cannon

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

NA61240594 Issued in WA

Practice address

4699 Old Ironsides Dr Ste 230
Santa Clara, CA 95054-1858

Phone

(408) 863-1705

NPI assigned

Dec 21, 2023

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

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

{
    "created_epoch": "1703116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1194594846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19921 SUNNYSIDE DR N APT H204",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981332712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4699 OLD IRONSIDES DR STE 230",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950541858",
            "telephone_number": "408-863-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNON",
        "first_name": "REBECCAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-21",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "WA",
            "license": "NA61240594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fidel Martinez Calvillo
• Randell E. Camantigue, MD
• Camino Medical Group
• Kathleen Marie Campos, M.A., CCC-A
• Luigi Canepa, D.C.
• Ashley Greer Cano
• Chun Cao, L.AC
• William L. Cappiello, MD
• Capsopro Services LLC
• Alysse Caraballo, MA, LMFT, BCN

• Nurse's Aide in Santa Clara, CA
• Providers in Santa Clara, CA by specialty
• Nurse's Aide in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; 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.