William Bryan Cannon, RN

Primary specialty

Critical Care Medicine Registered NurseTaxonomy code 163WC0200X

License

R107274 Issued in AR

Practice address

4300 W 7TH St
Little Rock, AR 72205

Phone

(501) 257-1000

NPI assigned

Jul 27, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532995200000",
    "number": "1689151003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 CARMICHAEL RD",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721439675",
            "telephone_number": "402-413-6175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 W 7TH ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72205",
            "telephone_number": "501-257-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNON",
        "first_name": "WILLIAM",
        "middle_name": "BRYAN",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-27",
        "last_updated": "2018-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "R107274",
            "primary": false
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "AR",
            "license": "R107274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Kenniasty Cannatella, LMSW
• Mark Canner, MD
• Jamie A Cannon, MD
• Marckiana Cannon
• Thomas Cannon, MD
• Horeb Antonio Cano, MD
• Stephen James Canon, M.D.
• Rodrigo Mauricio Canseco
• Morgan M Cantor, MD
• Cantrell Compounding, Inc.

• Critical Care Medicine Registered Nurse in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Critical Care Medicine Registered Nurse in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; 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.