Active NPI
Emily J Cannon, ACNP
- Acute Care Nurse Practitioner
- Tyler, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 723802
- Practice address
- 619 S Fleishel Ave
Tyler, TX 75701-2004 - Phone
- (903) 606-1264
- NPI assigned
- Jan 25, 2010
- Last updated
- Oct 6, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP118873 | TX | |
| Acute Care Nurse Practitioner | 363LA2100X | 723802 | TX | Primary |
Addresses
Primary practice location
619 S Fleishel Ave
Tyler, TX 75701-2004
Mailing address
PO Box 846098
Dallas, TX 75284-6098
Phone (903) 324-6400
Other practice location 1
912 S Fleishel Ave
Tyler, TX 75701-2018
Phone (903) 592-6901
Other practice location 2
619 S Fleishel Ave Ste 101
Tyler, TX 75701-2004
Phone (903) 606-2296
Other practice location 3
619 S Fleishel Ave Ste 201
Tyler, TX 75701-2004
Phone (903) 606-7061
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1C3376 | Other | TX | MEDICARE |
| 398191220 | Medicaid | TX | |
| 8MK526 | Other | TX | BCBS |
| P02469301 | Other | TX | MEDICARE RAIL ROAD |
Other names 1
- Emily J Evans
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
105 Zeid Blvd
Henderson, TX 75652-6070
Phone (903) 595-2283
1302 N Pacific St
Christus Trinity Clinic
Mineola, TX 75773-1022
Phone (903) 569-5383
18780 Interstate 20
Canton, TX 75103-3593
Phone (903) 567-4841
3201 S Loop
Palestine, TX 75801-6901
620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900
630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560
PO Box
Suite 846098
Dallas, TX 75284-6098
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP118873 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Etmc Physician Group Inc. | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Etmc Physician Group Inc. | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients |
Locations
18118 FM 344 W
Flint, TX 75762
Phone (903) 825-3292
619 S Fleishel Ave
Tyler, TX 75701
Phone (903) 606-2830
619 S Fleishel Ave
Ste 101
Tyler, TX 75701
Phone (903) 606-2296
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
912 S Fleishel Ave
Tyler, TX 75701
Phone 90359269011811
Interoperability endpoints
- eevans@psotmd.gwaydirect.com
- eevans110485@christushealth.direct-ci.net
Organizations & group practices 4
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.
-
dba Christus Trinity Clinic
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
-
- Cardiovascular Disease Physician
- Tyler, TX
- NPI 1609382662
-
dba Christus Trinity Clinic
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
-
- Rural Health Clinic/Center
- Chandler, TX
- NPI 1235706581
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CHRISTUS Mother Frances Hospital - Jacksonville
- Critical Access Hospital
- Jacksonville, TX
- NPI 1952306672
-
dba Christus Mother Frances Hospital Tyler
- General Acute Care Hospital
- Tyler, TX
- NPI 1679578439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791244800000",
"number": "1720319130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 846098",
"city": "DALLAS",
"state": "TX",
"postal_code": "752846098",
"telephone_number": "903-324-6400",
"fax_number": "903-592-9986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "619 S FLEISHEL AVE",
"city": "TYLER",
"state": "TX",
"postal_code": "757012004",
"telephone_number": "903-606-1264"
}
],
"practiceLocations": [
{
"address_1": "912 S Fleishel Ave",
"address_purpose": "LOCATION",
"city": "Tyler",
"state": "TX",
"postal_code": "757012018",
"country_code": "US",
"telephone_number": "903-592-6901",
"fax_number": "903-592-9986",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "619 S Fleishel Ave Ste 101",
"address_purpose": "LOCATION",
"city": "Tyler",
"state": "TX",
"postal_code": "757012004",
"country_code": "US",
"telephone_number": "903-606-2296",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "619 S Fleishel Ave Ste 201",
"address_purpose": "LOCATION",
"city": "Tyler",
"state": "TX",
"postal_code": "757012004",
"country_code": "US",
"telephone_number": "903-606-7061",
"fax_number": "903-606-5933",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CANNON",
"first_name": "EMILY",
"middle_name": "J",
"credential": "ACNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-25",
"last_updated": "2026-10-06",
"certification_date": "2026-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "AP118873",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "TX",
"license": "723802",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "1C3376",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "398191220",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8MK526",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAIL ROAD",
"identifier": "P02469301",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "EMILY",
"last_name": "EVANS",
"middle_name": "J",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.