Misty Cannon

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

1870144375 Issued in IN

Practice address

15584 Dusty TRL
Noblesville, IN 46060-7241

Phone

(317) 869-9259

NPI assigned

Feb 6, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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 and National Provider Directory roles.

• Obedience Transportation Corporation

  • Secured Medical Transport (VAN)
  • Noblesville, IN
  • NPI 1487045704
  NPD (past) Authorized official

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

{
    "created_epoch": "1423180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423180800000",
    "number": "1699166116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15584 DUSTY TRL",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460607241",
            "telephone_number": "317-869-9259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15584 DUSTY TRL",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460607241",
            "telephone_number": "317-869-9259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNON",
        "first_name": "MISTY",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-06",
        "last_updated": "2015-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "IN",
            "license": "1870144375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cancer Care Group, P.C.
• Cancer Rehab Group LLC
• Nathaniel Canillas
• Colt Keith Cannon, C.O.T.A.
• Kristin Cannon, OTR
• Braca Benizry Cantor
• Cardiosom, LLC
• Hayley Marie Carey, PHARMD
• Jami Carey
• Kaitlin Renee Carnes, FNP

• All providers in Noblesville, IN
• Non-emergency Medical Transport (VAN) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.

Verify at the official NPI Registry.