Alexis Helen Cannon, NBC-HWC

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Practice address

67-236 Kukea Cir
Waialua, HI 96791-9517

Phone

(843) 655-2641

NPI assigned

Oct 22, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1540166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1376019851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67-236 KUKEA CIR",
            "city": "WAIALUA",
            "state": "HI",
            "postal_code": "967919517",
            "telephone_number": "843-655-2641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67-236 KUKEA CIR",
            "city": "WAIALUA",
            "state": "HI",
            "postal_code": "967919517",
            "telephone_number": "843-655-2641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "61-264 Kamehameha Hwy",
            "address_purpose": "LOCATION",
            "city": "Haleiwa",
            "state": "HI",
            "postal_code": "967121309",
            "country_code": "US",
            "telephone_number": "843-655-2641",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "265 Camrose Way",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295883702",
            "country_code": "US",
            "telephone_number": "843-655-2641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANNON",
        "first_name": "ALEXIS",
        "middle_name": "HELEN",
        "credential": "NBC-HWC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-22",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "HI",
            "license": "RBT-18-68725",
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health & Wellness Coach in Waialua, HI
• Providers in Waialua, HI by specialty
• Health & Wellness Coach in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.