Kendra Channel Cannon, REGISTERED NURSE

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

RN9533883 Issued in FL

Practice address

1704 54TH Street CT W
Bradenton, FL 34209-5044

Phone

(941) 920-9177

NPI assigned

Aug 23, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ms. Kendra Channel Cannon Professional name

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": "1724371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1629801741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 54TH STREET CT W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342095044",
            "telephone_number": "941-920-9177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 54TH STREET CT W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342095044",
            "telephone_number": "941-920-9177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNON",
        "first_name": "KENDRA",
        "middle_name": "CHANNEL",
        "name_prefix": "Mrs.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-23",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "FL",
            "license": "RN9533883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENDRA",
            "last_name": "CANNON",
            "middle_name": "CHANNEL",
            "prefix": "MS.",
            "credential": "REGISTERED NURSE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Nicole Marie Canada, M.D.
• Jennifer Canale
• Gail Ann Canario, LMHC
• Ryan Canavan, DC
• Lenore Felice Canavarros, LCSW
• Capital Anesthesia Solutions of Florida, LLC
• Cecilia D Carag, M.D.
• Altynai Cardenas Cabrera, APRN
• Mylee Nicole Cardenas
• Victoria Cardieri, MD

• Home Health Registered Nurse in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Home Health Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; 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.