Active NPI
Rachel Brianna Cannon, RN
- Registered Nurse
- San Francisco, CA
National Provider Identifier
1245995158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 95219398
- Practice address
- 298 King St
Safeway Pharmacy #2606
San Francisco, CA 94107-1702 - Phone
- (248) 895-5438
- NPI assigned
- Nov 4, 2021
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 95219398 | CA | Primary |
Addresses
Primary practice location
298 King St
Safeway Pharmacy #2606
San Francisco, CA 94107-1702
Mailing address
985 39TH St
Oakland, CA 94608-3860
Phone (248) 895-5438
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95219398 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635984000000",
"number": "1245995158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "985 39TH ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946083860",
"telephone_number": "248-895-5438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "298 KING ST",
"address_2": "SAFEWAY PHARMACY #2606",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941071702",
"telephone_number": "248-895-5438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANNON",
"first_name": "RACHEL",
"middle_name": "BRIANNA",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-04",
"last_updated": "2021-11-04",
"certification_date": "2021-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95219398",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.