Veronica Lea Cannon, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A004099 Issued in AR

Practice address

1604 MLK Blvd
Malvern, AR 72104

Phone

(501) 732-5400

Fax

(501) 325-9650

NPI assigned

Jul 2, 2014

Last updated

Feb 29, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Brick City Health and Wellness Clinic PLLCGroup PAC ID 9638522451, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• CHI St. Vincent Hospital Hot Springs Hospital, Hot Springs, AR, CCN 040026

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brick City Health and Wellness Clinic PLLC

  • Family Nurse Practitioner
  • Malvern, AR
  • NPI 1558143701
  Medicare reassignment Care Compare group NPD
• Healthy Connections Incorporated

  • Federally Qualified Health Center (FQHC)
  • Mena, AR
  • NPI 1588646491
  Medicare reassignment NPD
• Apex Wound Management LLC

  • Clinic/Center
  • Tulsa, OK
  • NPI 1740067727

  AR

  Medicare reassignment NPD
• Apex Wound Specialists LLC

  • Clinic/Center
  • Broken Arrow, OK
  • NPI 1902630122

  AR

  Medicare reassignment NPD
• Healthy Connections Incorporated

  • Federally Qualified Health Center (FQHC)
  • Texarkana, AR
  • NPI 1518694538
  NPD
• Healthy Connections, Inc

  • Federally Qualified Health Center (FQHC)
  • Mount Ida, AR
  • NPI 1750847208
  NPD
• Healthy Connections Inc

  • Federally Qualified Health Center (FQHC)
  • Malvern, AR
  • NPI 1003282070
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• CHI St Vincent Hospital Hot Springs

  • Home Delivered Meals
  • Hot Springs, AR
  • NPI 1033157375

  Hospital

  Care Compare affiliation
• CHI St Vincent Hospital Hot Springs

  • General Acute Care Hospital
  • Hot Springs, AR
  • NPI 1316144546
  Care Compare affiliation
• CHI St Vincent Hospital Hot Springs

  • General Practice Physician
  • Hot Springs, AR
  • NPI 1497880124

  Hospital

  Care Compare affiliation
• CHI St Vincent Hospital Hot Springs

  • Psychiatric Hospital Unit
  • Hot Springs, AR
  • NPI 1619915949
  Care Compare affiliation
• CHI St Vincent Hospital Hot Springs

  • General Acute Care Hospital
  • Hot Springs, AR
  • NPI 1689628232
  Care Compare affiliation
• Mercy Hospital Hot Springs

  • Clinic/Center
  • Hot Springs, AR
  • NPI 1174705388

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1689080384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 MLK BLVD",
            "city": "MALVERN",
            "state": "AR",
            "postal_code": "72104",
            "telephone_number": "501-732-5400",
            "fax_number": "501-325-9650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 MLK BLVD",
            "city": "MALVERN",
            "state": "AR",
            "postal_code": "72104",
            "telephone_number": "501-732-5400",
            "fax_number": "501-325-9650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNON",
        "first_name": "VERONICA",
        "middle_name": "LEA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-02",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A004099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204425758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Cain
• Cassi Calcagno
• Tammy Campbell
• Caroline Canady, RECOVERY ADVOCATE
• Carrie Ella Cannon, M.A.
• Caitlyn Cantrell
• Christina Cantrell
• Laura Lynn Carnahan, CCR, DSP
• Lisa Carol Carpenter, LPC
• Mary Ann Carthan, RN

• Family Nurse Practitioner in Malvern, AR
• Providers in Malvern, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.