Individual provider Active NPI

Davion Dominique Cannon, FNP

  • Family Nurse Practitioner
  • Plano, TX
National Provider Identifier
1386448918
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1182613 Issued in TX
Practice address
6124 W Parker Rd Ste 536
Plano, TX 75093-8137
Phone
(972) 378-9560
Fax
(844) 290-4363
NPI assigned
Apr 2, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1182613 TX Primary

Addresses

Primary practice location

6124 W Parker Rd Ste 536
Plano, TX 75093-8137

Mailing address

6124 W Parker Rd Ste 536
Plano, TX 75093-8137
Phone (972) 378-9560

Other names 1

  • Davion Pezzola Former name

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20250703000371 TX Practitioner - Nurse Practitioner 0244743060 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heartplace PLLCGroup PAC ID 2769386473, 90 clinicians

Practice addresses (Care Compare)

12850 Dallas Pkwy
Suite 250
Frisco, TX 75033-0844
Phone (469) 213-5969

5085 W Park Blvd
Suite 160
Plano, TX 75093-2593
Phone (469) 437-3352

6124 W Parker Rd
Suite 536
Plano, TX 75093-8137
Phone (972) 378-9560

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1182613TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heartplace, PLLC CurrentSince Apr 29, 2025 Accepting new patients
Heartplace, PLLC Current Accepting new patients
Heartplace, PLLC CurrentSince Apr 29, 2025 Accepting new patients
Heartplace, PLLC Past Accepting new patients

Locations

341 Cool Springs Blvd
Ste 305
Franklin, TN 37067
Phone (972) 391-1915

902 W Randol Mill Rd
Ste 200
Arlington, TX 76012
Phone (817) 461-3003

13192 Dallas Pkwy
Ste 610B
Frisco, TX 75033
Phone (469) 213-5969

6124 W Parker Rd
Ste 536
Plano, TX 75093
Phone (972) 378-9560

399 W Campbell Rd
Ste 300
Richardson, TX 75080
Phone (972) 665-9100

Interoperability endpoints

  • Direct secure messaging: davion.cannon.1@14273.direct.athenahealth.com
  • Direct secure messaging: davion.cannon@ushv.eclinicaldirectplus.com
  • FHIR API: https://api.platform.athenahealth.com/14273/brand/6/csg/1/fhir/r4

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1743552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1386448918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6124 W PARKER RD STE 536",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938137",
            "telephone_number": "972-378-9560",
            "fax_number": "844-290-4363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6124 W PARKER RD STE 536",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938137",
            "telephone_number": "972-378-9560",
            "fax_number": "844-290-4363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNON",
        "first_name": "DAVION",
        "middle_name": "DOMINIQUE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-02",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1182613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVION",
            "last_name": "PEZZOLA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.