Adria Cannon, STUDENT, PTA

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

2209 N 30TH St Ste 5
Tacoma, WA 98403-3352

Phone

(253) 446-7176

NPI assigned

May 6, 2021

Last updated

Jun 5, 2026By 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 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Bryce Wilson, PLLC

  dba Northwest Counsel

  • Mental Health Counselor
  • Puyallup, WA
  • NPI 1154770329
  NPD (past)
• Vashon Youth and Family Services

  • Community/Behavioral Health Agency
  • Vashon, WA
  • NPI 1265636815
  NPD (past)

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

{
    "created_epoch": "1620259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1689258675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5620 112TH ST E STE 215",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983733206",
            "telephone_number": "206-708-3850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 N 30TH ST STE 5",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984033352",
            "telephone_number": "253-446-7176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNON",
        "first_name": "ADRIA",
        "credential": "STUDENT, PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-06",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MHCA.MC.61309127",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "60567605",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candace Candoo
• Colette Marie Candy, PH.D.
• Eric Adam Canel Sr.
• Jordan Lee Canevari
• Layla Canfield, CRNA
• Christine J. Cannon, COTA
• Jordan Cannon, AUD
• Michele M Cannon, M.D.
• Dahisy Cano
• Heather Shree Cano, RBT,CBT

• Student in an Organized Health Care Education/Training Program in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Student in an Organized Health Care Education/Training Program in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; 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.