Breana Cannon

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

9492593-4104 Issued in UT

Practice address

1027 E Barbara PL
5
Salt Lake City, UT 84102-3149

Phone

(972) 322-0017

NPI assigned

Nov 17, 2015

Last updated

Nov 17, 2015By the provider in NPPES

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

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": "1447718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447718400000",
    "number": "1437523230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 E BARBARA PL",
            "address_2": "5",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841023149",
            "telephone_number": "972-322-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 E BARBARA PL",
            "address_2": "5",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841023149",
            "telephone_number": "972-322-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNON",
        "first_name": "BREANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-17",
        "last_updated": "2015-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "UT",
            "license": "9492593-4104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Marie C Canelas, MD
• Charlotte Ann Canella, MED LCPC
• Steven M Canfield, D.D.S.
• Nazife Canitez
• Rebeca Chantel Cannaday
• Cynthia Cannon, MD
• Dale Sherman Cannon, PH.D.
• David H Cannon, DDS
• Donald M Cannon, MD
• Eleanor Cannon

• Speech-Language Pathologist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Speech-Language Pathologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; 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.