Active NPI
Cannon Health
- Family Nurse Practitioner
- Tucson, AZ
National Provider Identifier
1609612100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- CANNON HEALTH
- Practice address
- 6700 E Speedway Blvd.
Tucson, AZ 85710 - Phone
- (520) 800-9282
- Fax
- (866) 403-5117
- NPI assigned
- Jul 3, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carrie Eileen Cannon, PMHNP-BC, FNP-C,CKNS
- Title
- Pmhnp-BC, FNP-C, CKNS
- Phone
- (520) 800-9282
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary | ||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
6700 E Speedway Blvd.
Tucson, AZ 85710
Mailing address
1620 S Placita Churella
Tucson, AZ 85748-7714
Phone (520) 800-9282
Other practice location 1
1620 S Placita Churella
Tucson, AZ 85748-7714
Phone (520) 800-9282
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
6700 E Speedway Blvd
Tucson, AZ 85710
Phone (520) 448-9005
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719964800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740960000000",
"number": "1609612100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1620 S PLACITA CHURELLA",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857487714",
"telephone_number": "520-800-9282",
"fax_number": "866-403-5117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6700 E SPEEDWAY BLVD.",
"city": "TUCSON",
"state": "AZ",
"postal_code": "85710",
"telephone_number": "520-800-9282",
"fax_number": "866-403-5117"
}
],
"practiceLocations": [
{
"address_1": "1620 S Placita Churella",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857487714",
"country_code": "US",
"telephone_number": "520-800-9282",
"fax_number": "866-403-5117",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CANNON HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-03",
"last_updated": "2025-03-03",
"certification_date": "2025-03-03",
"status": "A",
"authorized_official_last_name": "CANNON",
"authorized_official_first_name": "CARRIE",
"authorized_official_middle_name": "EILEEN",
"authorized_official_title_or_position": "PMHNP-BC, FNP-C, CKNS",
"authorized_official_telephone_number": "520-800-9282",
"authorized_official_credential": "PMHNP-BC, FNP-C,CKNS"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.