Active NPI
Keona Cannon, TBA,FSD IBCLC,CHW
- Doula
- Tampa, FL
National Provider Identifier
1699545277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Practice address
- 1 Tampa General Cir
Tampa, FL 33606-3571 - Phone
- (314) 591-3118
- NPI assigned
- Jan 4, 2024
- 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 13
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | |||
| Health Educator | 174H00000X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Naturopath | 175F00000X | |||
| Lay Midwife | 175M00000X | |||
| Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician | 207VH0002X | MBQ0171 | GA | |
| Mental Health Counselor | 101YM0800X | |||
| Nutrition Education Nutritionist | 133NN1002X | |||
| Acupuncturist | 171100000X | |||
| Massage Therapist | 225700000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Religious Nonmedical Practitioner | 374K00000X | |||
| Doula | 374J00000X | Primary |
Addresses
Primary practice location
1 Tampa General Cir
Tampa, FL 33606-3571
Mailing address
1 Tampa General Cir
Tampa, FL 33606-3571
Phone (314) 591-3118
Other practice location 1
3030 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6308
Phone (314) 591-3118
Other practice location 2
3100 E Fletcher Ave
Tampa, FL 33613-4613
Phone (314) 591-3118
Other names 1
- Ms. Goddis Ke
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MBQ0171 | GA | MD | Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704326400000",
"number": "1699545277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 TAMPA GENERAL CIR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336063571",
"telephone_number": "314-591-3118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 TAMPA GENERAL CIR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336063571",
"telephone_number": "314-591-3118"
}
],
"practiceLocations": [
{
"address_1": "3030 W Dr Martin Luther King Jr Blvd",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336076308",
"country_code": "US",
"telephone_number": "314-591-3118",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3100 E Fletcher Ave",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336134613",
"country_code": "US",
"telephone_number": "314-591-3118",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CANNON",
"first_name": "KEONA",
"credential": "TBA,FSD IBCLC,CHW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-04",
"last_updated": "2024-01-04",
"certification_date": "2024-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": null,
"license": null,
"primary": false
},
{
"code": "175M00000X",
"taxonomy_group": "",
"desc": "Midwife, Lay",
"state": null,
"license": null,
"primary": false
},
{
"code": "207VH0002X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Hospice and Palliative Medicine",
"state": "GA",
"license": "MBQ0171",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": null,
"license": null,
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "374K00000X",
"taxonomy_group": "",
"desc": "Religious Nonmedical Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GODDIS",
"last_name": "KE",
"prefix": "MS.",
"credential": "HPP,TBA,DHT,CCH",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.