Kawanna Nicole Cannon

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-174325 Issued in AL

Practice address

1845 Cherry St
Montgomery, AL 36107-2613

Phone

(334) 420-5001

NPI assigned

Mar 16, 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

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Health Services IncGroup PAC ID 1557324811, 30 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health of Montgomery Home health agency, Montgomery, AL, CCN 017319

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Hayneville, AL
  • NPI 1598788218

  AL

  Medicare reassignment Care Compare group NPD
• Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Montevallo, AL
  • NPI 1891257390

  AL

  Medicare reassignment Care Compare group NPD
• Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Autaugaville, AL
  • NPI 1992727853
  Care Compare group NPD
• Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Montgomery, AL
  • NPI 1184284986
  Care Compare group NPD
• Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Montgomery, AL
  • NPI 1063654341
  Care Compare group
• Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Montgomery, AL
  • NPI 1205844719
  Care Compare group
• Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Montgomery, AL
  • NPI 1538181490
  Care Compare group
• Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Montgomery, AL
  • NPI 1548538010
  Care Compare group
• Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Clanton, AL
  • NPI 1700808664
  Care Compare group
• Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Ramer, AL
  • NPI 1932122652
  Care Compare group
• Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Eclectic, AL
  • NPI 1982626842
  Care Compare group
• Health Services, Inc

  • Federally Qualified Health Center (FQHC)
  • Montgomery, AL
  • NPI 1528082336
  Care Compare group

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

• Amedisys Alabama, LLC

  • Home Health Agency
  • Montgomery, AL
  • NPI 1174581474
  Care Compare affiliation

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

{
    "created_epoch": "1678924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1356042279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 CHERRY ST",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361072613",
            "telephone_number": "334-420-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 CHERRY ST",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361072613",
            "telephone_number": "334-420-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNON",
        "first_name": "KAWANNA",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-16",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-174325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda A Campbell, MSW LSW
• Patricia Campbell, MD
• Stacey Campbell, LMT
• Sarah L Campos, CRNA
• Kay Cannady, LPC
• Judith B. Cantey, PT
• Amber Lindsey Cantrell, APRN
• Christa Canty, ATC, LAT
• Sari Capilouto, CRNP
• Capital Cardiothoracic, PC

• All providers in Montgomery, AL
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; 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.

Verify at the official NPI Registry.