Active NPI
Shawna Cannon
- Community/Behavioral Health Agency
- Flint, MI
National Provider Identifier
1669855201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Practice address
- 304 W Tobias St
Flint, MI 48503-3975 - Phone
- (810) 233-4093
- Fax
- (810) 233-4964
- NPI assigned
- Jul 1, 2015
- 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 |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
304 W Tobias St
Flint, MI 48503-3975
Mailing address
304 W Tobias St
Flint, MI 48503-3975
Phone (810) 233-4093
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": "1435708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435708800000",
"number": "1669855201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 W TOBIAS ST",
"city": "FLINT",
"state": "MI",
"postal_code": "485033975",
"telephone_number": "810-233-4093",
"fax_number": "810-233-4964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 W TOBIAS ST",
"city": "FLINT",
"state": "MI",
"postal_code": "485033975",
"telephone_number": "810-233-4093",
"fax_number": "810-233-4964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANNON",
"first_name": "SHAWNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-01",
"last_updated": "2015-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.