Active NPI
Hernene Artrice Cannon-Davis, MS
- Marriage & Family Therapist
- Sacramento, CA
National Provider Identifier
1699941161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 49491
- Practice address
- 5777 Madison Ave Ste 240
Sacramento, CA 95841-3308 - Phone
- (916) 239-6339
- Fax
- (916) 344-0739
- NPI assigned
- May 5, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 49491 | CA | Primary |
Addresses
Primary practice location
5777 Madison Ave Ste 240
Sacramento, CA 95841-3308
Mailing address
5777 Madison Ave Ste 240
Sacramento, CA 95841-3308
Phone (916) 239-6339
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000008462 | Other | CA | MEDICAL PROVIDER NUMBER |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49491 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209945600000",
"number": "1699941161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5777 MADISON AVE STE 240",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958413308",
"telephone_number": "916-239-6339",
"fax_number": "916-344-0739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5777 MADISON AVE STE 240",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958413308",
"telephone_number": "916-239-6339",
"fax_number": "916-344-0739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANNON-DAVIS",
"first_name": "HERNENE",
"middle_name": "ARTRICE",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-05",
"last_updated": "2008-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "49491",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL PROVIDER NUMBER",
"identifier": "000008462",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.