Active NPI
Susie Shantila Cannon, TRADITIONAL MIDWIFE
- Lay Midwife
- Tupelo, MS
National Provider Identifier
1487508024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lay Midwife
- License
- NA
- Practice address
- 1800 W Main St
Tupelo, MS 38801-3254 - Phone
- (504) 533-4716
- NPI assigned
- Feb 23, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lay Midwife | 175M00000X | NA | MS | Primary |
Addresses
Primary practice location
1800 W Main St
Tupelo, MS 38801-3254
Mailing address
184 Lewellen St
West Point, MS 39773-2138
Phone (504) 533-4716
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771804800000",
"number": "1487508024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "184 LEWELLEN ST",
"city": "WEST POINT",
"state": "MS",
"postal_code": "397732138",
"telephone_number": "504-533-4716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 W MAIN ST",
"city": "TUPELO",
"state": "MS",
"postal_code": "388013254",
"telephone_number": "504-533-4716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANNON",
"first_name": "SUSIE",
"middle_name": "SHANTILA",
"credential": "TRADITIONAL MIDWIFE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-02-23",
"last_updated": "2026-02-23",
"certification_date": "2026-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "175M00000X",
"taxonomy_group": "",
"desc": "Midwife, Lay",
"state": "MS",
"license": "NA",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tupelo, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.