Active NPI
Lisa Cannon, RD, LDN
- Registered Dietitian
- Westfield, MA
National Provider Identifier
1629249255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 2628
- Practice address
- 115 W Silver St
Westfield, MA 01085-3628 - Phone
- (413) 568-2811
- Fax
- (413) 572-5005
- NPI assigned
- Mar 24, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 2628 | MA | Primary |
Addresses
Primary practice location
115 W Silver St
Westfield, MA 01085-3628
Mailing address
33 Woodcliff Dr
Granby, CT 06035-2122
Phone (860) 653-9340
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)
- Enrolled
Interoperability endpoints
- lisa.normille.p1@direct.fallonhealth.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206316800000",
"number": "1629249255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 WOODCLIFF DR",
"city": "GRANBY",
"state": "CT",
"postal_code": "060352122",
"telephone_number": "860-653-9340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 W SILVER ST",
"city": "WESTFIELD",
"state": "MA",
"postal_code": "010853628",
"telephone_number": "413-568-2811",
"fax_number": "413-572-5005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANNON",
"first_name": "LISA",
"name_prefix": "Ms.",
"credential": "RD, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-24",
"last_updated": "2008-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "2628",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.