Active NPI
Eyleen Cannon, APRN, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Minneola, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN11039012
- Practice address
- 600 S Main Ave Unit 100
Minneola, FL 34715-9578 - Phone
- (352) 703-6341
- NPI assigned
- Jun 4, 2025
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN11039012 | FL | Primary |
Addresses
Primary practice location
600 S Main Ave Unit 100
Minneola, FL 34715-9578
Mailing address
PO Box 203
Minneola, FL 34755-0203
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 N Ronald Reagan Blvd
Suite 204
Longwood, FL 32750-4162
Phone (407) 974-6539
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Still Waters Psychiatry PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Collaborative Psychiatric Care & Wellness LLC | Psychiatric/Mental Health | Past | Accepting new patients |
| Tele Med Clinix LLC | Past | Accepting new patients | |
| Tele Med Clinix Lousiana | Past | Accepting new patients |
Locations
1070 Montgomery Rd
Altamonte Springs, FL 32714
Phone (407) 504-7121
4300 S Highway 27
Ste 205E
Clermont, FL 34711
Phone (407) 974-6539
300 N Ronald Reagan Blvd
Ste 204
Longwood, FL 32750
Phone (407) 974-6539
Organizations & group practices 4
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Longwood, FL
- NPI 1740944719
-
- Psychiatric/Mental Health Nurse Practitioner
- Minneola, FL
- NPI 1508701731
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sanford, FL
- NPI 1780204305
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Monroe, LA
- NPI 1346085719
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788134400000",
"number": "1497649453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 203",
"city": "MINNEOLA",
"state": "FL",
"postal_code": "347550203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 S MAIN AVE UNIT 100",
"city": "MINNEOLA",
"state": "FL",
"postal_code": "347159578",
"telephone_number": "352-703-6341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANNON",
"first_name": "EYLEEN",
"credential": "APRN, PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-04",
"last_updated": "2026-08-31",
"certification_date": "2026-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "FL",
"license": "APRN11039012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneola, FL
- Allison Neale Briggs
- Bright Angels Therapy Services Inc
- Bright Path Wellness Center LLC
- Bridgett B Brown
- C&J Home Health Services LLC
- Kathy Carpenter, PT
- Ramsaran Charran
- Citicare Medical Supplies Inc
- Clermont Dialysis Center, LLC (Renal Care Group Clermont)
- Clermont Massage LLC (Pure Wellness Company)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; 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.