Individual provider Active NPI

Richard Cannon Jr.

  • Certified Registered Nurse Anesthetist
  • Monroe, LA
National Provider Identifier
1245637073
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP08107 Issued in LA
Practice address
309 Jackson St
Monroe, LA 71201-7407
Phone
(504) 779-5515
NPI assigned
Nov 21, 2014
Last updated
Nov 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X AP08107 LA Primary

Addresses

Primary practice location

309 Jackson St
Monroe, LA 71201-7407

Mailing address

3510 N Causeway Blvd Ste 404
Metairie, LA 70002-3531

Other practice location 1

4864 Jackson St
Monroe, LA 71202-6400
Phone (318) 330-7000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150202001833 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7012232648 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Smso Anesthesia, LLCGroup PAC ID 7012970627, 49 clinicians
Zephyr Anesthesia LLCGroup PAC ID 1658559125, 161 clinicians
Brfhh Monroe LLCGroup PAC ID 0042446577, 17 clinicians

Practice addresses (Care Compare)

2408 Broadmoor Blvd
Monroe, LA 71201-2994
Phone (318) 812-1760

309 Jackson St
Monroe, LA 71201-7407
Phone (318) 812-1760

323 W Walnut Ave
Bastrop, LA 71220-4521
Phone (318) 283-3601

4864 Jackson St
Monroe, LA 71202-6400
Phone (318) 330-7000

694 Belle Terre Blvd
La Place, LA 70068-1620
Phone (985) 359-6694

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Lsu Health Sciences Center Shreveport Faculty Group Practice CurrentSince Jul 1, 2021 Accepting new patients
Arena Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2016 Accepting new patients
Joseph E Humble and Raymond Haik, PTRS CurrentSince Jan 18, 2026 Accepting new patients
M Kneeland LLC CurrentSince Mar 2, 2024 Accepting new patients
Arklamiss Anesthesia CurrentSince Apr 4, 2018 Accepting new patients
Orthomed Staffing LLC CurrentSince Sep 25, 2023 Accepting new patients
Joseph E Humble and Raymond Haik, PTRS CurrentSince Jan 18, 2026 Accepting new patients
Endoscopy Center of Monroe CurrentSince Oct 30, 2018 Accepting new patients
Endoscopy Center of Monroe Nurse Anesthetist, Certified Registered CurrentSince Oct 30, 2018 Accepting new patients
Bayou Anesthesia Group LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2017 Accepting new patients
Brfhh Monroe LLC CurrentSince May 10, 2018 Accepting new patients
Zephyr Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince May 30, 2023 Accepting new patients
Arklamiss Surgery Center,LLC CurrentSince Aug 1, 2019 Accepting new patients

Locations

901 James Ave
Farmerville, LA 71241
Phone (318) 210-9020

694 Belle Terre Blvd
La Place, LA 70068
Phone (985) 359-6694

720 Veterans Memorial Blvd
Ste 100
Metairie, LA 70005
Phone (504) 293-4955

1601 Louisville Ave
Monroe, LA 71201
Phone (318) 998-5555

210 Layton Ave
#10
Monroe, LA 71201
Phone (318) 807-0206

210 Layton Ave
Ste 20
Monroe, LA 71201
Phone (318) 323-6405

312 Grammont St
Ste 303
Monroe, LA 71201
Phone (318) 322-9882

316 S 6th St
Monroe, LA 71201
Phone (318) 325-2634

4864 Jackson St
Monroe, LA 71202
Phone (318) 330-7000

2701 Napoleon Ave
New Orleans, LA 70115
Phone (504) 267-2805

2480 Highway 33
Ruston, LA 71270
Phone (318) 224-2404

401 E Vaughn Ave
Ruston, LA 71270
Phone (318) 254-2100

1512 W Kirby Pl
Shreveport, LA 71103
Phone (318) 626-0177

1541 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0287

1606 Kings Hwy
Shreveport, LA 71103
Phone (318) 675-6402

102 Thomas Rd
Ste 506
West Monroe, LA 71291
Phone (318) 388-6983

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: richard.cannonjr.p1@direct.lapaincare.nextgenshare.com
  • Direct secure messaging: richard.cannonjr.p2@direct.lapaincare.nextgenshare.com

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1416528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1245637073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 N CAUSEWAY BLVD STE 404",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700023531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 JACKSON ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712017407",
            "telephone_number": "504-779-5515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4864 Jackson St",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "712026400",
            "country_code": "US",
            "telephone_number": "318-330-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANNON",
        "first_name": "RICHARD",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-21",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "AP08107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.