Carlissa Cannon

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

501134280606 Issued in OH

Practice address

6810 Clement Ave
Cleveland, OH 44105-4939

Phone

(216) 856-4759

NPI assigned

Apr 5, 2017

Sex

Female

Sole proprietor

Yes

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": "1491350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491350400000",
    "number": "1255864476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6810 CLEMENT AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441054939",
            "telephone_number": "216-856-4759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6810 CLEMENT AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441054939",
            "telephone_number": "216-856-4759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNON",
        "first_name": "CARLISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-05",
        "last_updated": "2017-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "OH",
            "license": "501134280606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mia Cannata, APRN-CRNA
• Susan Cannato, PHARMD
• Gia Marie Cannavino, PT
• Caitriona Canning
• Angel Desouza Cannon, LSW
• Denice Cannon
• Dwight Cannon
• Fransheria R Cannon
• Ka'Dasia Cannon
• Kenshawna Cannon

• Home Health Registered Nurse in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Home Health Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; 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.