Active NPI
Rosemary Ann Cannon, RN
- Nurse Practitioner
- Mesquite, TX
National Provider Identifier
1679750202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 434735
- Practice address
- 2379 Gus Thomasson Rd
Suite 200
Mesquite, TX 75150-5302 - Phone
- (972) 686-6400
- NPI assigned
- Jan 25, 2008
- Last updated
- Apr 6, 2011
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 434735 | TX | Primary |
Addresses
Primary practice location
2379 Gus Thomasson Rd
Suite 200
Mesquite, TX 75150-5302
Mailing address
2379 Gus Thomasson Rd
Suite 200
Mesquite, TX 75150-5302
Phone (972) 686-6400
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 434735 | TX | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302048000000",
"number": "1679750202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2379 GUS THOMASSON RD",
"address_2": "SUITE 200",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751505302",
"telephone_number": "972-686-6400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2379 GUS THOMASSON RD",
"address_2": "SUITE 200",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751505302",
"telephone_number": "972-686-6400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANNON",
"first_name": "ROSEMARY",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-25",
"last_updated": "2011-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "434735",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesquite, TX
- Darla Camacho, MS, CCC/SLP
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- Cambridge Court Partners,LLC (cambridge court assisted living and memory care)
- Cancer Center Associates
- Cancer Center Associates
- Brenda Sofia Cano
- Sarah Lynn Cantrell, DDS
- Peter D Cao, MD
- Ashlyn L Capps, R.D., L.D.
- Raymond Luis Capps, M.D.,PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.